Provider Demographics
NPI:1700184207
Name:WEINSTEIN, KRISTAL WOLF (DC)
Entity Type:Individual
Prefix:
First Name:KRISTAL
Middle Name:WOLF
Last Name:WEINSTEIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 CHERRINGTON PKWY
Mailing Address - Street 2:
Mailing Address - City:MOON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-4300
Mailing Address - Country:US
Mailing Address - Phone:412-269-0444
Mailing Address - Fax:412-269-1594
Practice Address - Street 1:650 CHERRINGTON PKWY
Practice Address - Street 2:
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108-4300
Practice Address - Country:US
Practice Address - Phone:412-269-0444
Practice Address - Fax:412-269-1594
Is Sole Proprietor?:No
Enumeration Date:2011-03-08
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010414111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor