Provider Demographics
NPI:1801811948
Name:GALLUZZO, GUY (DC)
Entity type:Individual
Prefix:DR
First Name:GUY
Middle Name:
Last Name:GALLUZZO
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 1:1302 N GALLATIN AVENUE EXT
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-2108
Mailing Address - Country:US
Mailing Address - Phone:724-438-3575
Mailing Address - Fax:724-437-8304
Practice Address - Street 1:1302 N GALLATIN AVENUE EXT
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2108
Practice Address - Country:US
Practice Address - Phone:724-438-3575
Practice Address - Fax:724-437-8304
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008803111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001371782OtherHIGHMARK BLUE CROSS
PA1043026OtherASH NETWORK
PA0019345030001Medicaid
PA320716OtherUPMC
PA653164OtherACN GROUP
PA0019345030001Medicaid
PA653164OtherACN GROUP