Provider Demographics
NPI:1831390640
Name:SHEALER CHIROPRACTIC, P.C.
Entity type:Organization
Organization Name:SHEALER CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:W
Authorized Official - Last Name:SHEALER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-823-5710
Mailing Address - Street 1:400 PENN CENTER BLVD
Mailing Address - Street 2:SUITE 637
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-5613
Mailing Address - Country:US
Mailing Address - Phone:412-823-5710
Mailing Address - Fax:412-823-5709
Practice Address - Street 1:4303 NORTHERN PIKE
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2807
Practice Address - Country:US
Practice Address - Phone:412-823-5710
Practice Address - Fax:412-823-5709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008764111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty