Provider Demographics
NPI:1457377087
Name:FISHMAN ACUPRESSURE & CHIROPRACTIC CLINIC, INC
Entity type:Organization
Organization Name:FISHMAN ACUPRESSURE & CHIROPRACTIC CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBB
Authorized Official - Middle Name:E
Authorized Official - Last Name:FISHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-858-5101
Mailing Address - Street 1:4314 OLD WILLIAM PENN HWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1455
Mailing Address - Country:US
Mailing Address - Phone:412-858-5101
Mailing Address - Fax:412-858-5105
Practice Address - Street 1:4314 OLD WILLIAM PENN HWY
Practice Address - Street 2:SUITE 101
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-1455
Practice Address - Country:US
Practice Address - Phone:412-858-5101
Practice Address - Fax:412-858-5105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003937L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA429370Medicare ID - Type Unspecified
PA722292Medicare ID - Type Unspecified
PAUO9621Medicare UPIN