Provider Demographics
NPI:1669885547
Name:BITTEL, DOUGLAS (DC)
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:
Last Name:BITTEL
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 1:305 CAMP HOLLOW RD BLDG B
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15122-2604
Mailing Address - Country:US
Mailing Address - Phone:412-469-9600
Mailing Address - Fax:412-469-9901
Practice Address - Street 1:305 CAMP HOLLOW RD BLDG B
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15122-2604
Practice Address - Country:US
Practice Address - Phone:412-469-9600
Practice Address - Fax:412-469-9901
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-09
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010869111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor