Provider Demographics
NPI:1780713727
Name:CZYZEWSKI CHIROPRACTIC CENTER INC.
Entity type:Organization
Organization Name:CZYZEWSKI CHIROPRACTIC CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:CZYZEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-966-7277
Mailing Address - Street 1:200 N MARKET ST
Mailing Address - Street 2:
Mailing Address - City:CARMICHAELS
Mailing Address - State:PA
Mailing Address - Zip Code:15320-1226
Mailing Address - Country:US
Mailing Address - Phone:724-966-7277
Mailing Address - Fax:724-966-7261
Practice Address - Street 1:200 N MARKET ST
Practice Address - Street 2:
Practice Address - City:CARMICHAELS
Practice Address - State:PA
Practice Address - Zip Code:15320-1226
Practice Address - Country:US
Practice Address - Phone:724-966-7277
Practice Address - Fax:724-966-7261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006916L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01625400Medicaid
PACZ666295OtherBCBS
PA200042OtherUPMC
PA200042OtherUPMC
PA666295Medicare ID - Type Unspecified