Provider Demographics
NPI:1356490999
Name:BALOBECK, JOSEPH ANDREW (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ANDREW
Last Name:BALOBECK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 W STEUBEN ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-2646
Mailing Address - Country:US
Mailing Address - Phone:412-952-3762
Mailing Address - Fax:
Practice Address - Street 1:400 RODI RD # 3
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-4519
Practice Address - Country:US
Practice Address - Phone:412-241-4530
Practice Address - Fax:412-241-4535
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004576L111NR0400X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1646639OtherAETNA HMO
PA0013063640004Medicaid
PA5674132OtherAETNA PPO
PA4996118OtherCIGNA
PA080864OtherHIGHMARK
PA080864MBSMedicare PIN