MEDICARE: DR. MICHAEL A MARTINI D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC009378	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1676222	OTHER	PA	HIGHMARK/BLUE'S

General Provider Information

NPI Number	:	1679579130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL A MARTINI D.C.

Provider Business Mailing Address
First Line	:	333 JOHN ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15227-4005
Country	:	US
Telephone Number	:	412-512-7559
Fax Number	:	412-881-3409

Provider Business Practice Location Address
First Line	:	300 WEYMAN RD
Second Line	:	STE 270
City	:	PITTSBURGH
State	:	PA
Zip	:	15236-1591
Country	:	US
Telephone Number	:	412-881-7060
Fax Number	:	412-881-3409

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	07/09/2007

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