Provider Demographics
NPI:1477388379
Name:ALLEGHENY ADVANCED CHIROPRACTIC LLC
Entity type:Organization
Organization Name:ALLEGHENY ADVANCED CHIROPRACTIC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:TODARO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-942-7660
Mailing Address - Street 1:4160 WASHINGTON RD STE 207
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2533
Mailing Address - Country:US
Mailing Address - Phone:724-942-7660
Mailing Address - Fax:724-942-7664
Practice Address - Street 1:4160 WASHINGTON RD STE 207
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-2533
Practice Address - Country:US
Practice Address - Phone:724-942-7660
Practice Address - Fax:724-942-7664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-03
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies