Provider Demographics
NPI:1992038871
Name:GRABSKI FAMILY CHIROPRACTIC PC
Entity Type:Organization
Organization Name:GRABSKI FAMILY CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GRABSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-643-9633
Mailing Address - Street 1:1639 MIDLAND BEAVER RD
Mailing Address - Street 2:STATE ROUTE 68
Mailing Address - City:INDUSTRY
Mailing Address - State:PA
Mailing Address - Zip Code:15052-1405
Mailing Address - Country:US
Mailing Address - Phone:724-643-9633
Mailing Address - Fax:724-643-9554
Practice Address - Street 1:1639 MIDLAND BEAVER RD
Practice Address - Street 2:STATE ROUTE 68
Practice Address - City:INDUSTRY
Practice Address - State:PA
Practice Address - Zip Code:15052-1405
Practice Address - Country:US
Practice Address - Phone:724-643-9633
Practice Address - Fax:724-643-9554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007788L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAGR915320OtherBCBS HIGHMARK
PAGR044346Medicare PIN
PAU830159Medicare UPIN