Provider Demographics
NPI:1801459797
Name:G AND S CHIROPRACTIC
Entity type:Organization
Organization Name:G AND S CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-733-2225
Mailing Address - Street 1:785 PINE VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15239-2842
Mailing Address - Country:US
Mailing Address - Phone:724-733-2225
Mailing Address - Fax:724-733-2500
Practice Address - Street 1:785 PINE VALLEY DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15239-2842
Practice Address - Country:US
Practice Address - Phone:724-733-2225
Practice Address - Fax:724-733-2500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-17
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016298100004Medicaid
PA0016787170002Medicaid