Provider Demographics
NPI:1992010938
Name:DR DEB CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:DR DEB CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DC OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:STANGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-372-5900
Mailing Address - Street 1:119 DONLEY DR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1509
Mailing Address - Country:US
Mailing Address - Phone:412-372-5900
Mailing Address - Fax:412-372-5186
Practice Address - Street 1:244 CENTER RD STE 302
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-1789
Practice Address - Country:US
Practice Address - Phone:412-372-5600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-14
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty