Healthcare Provider Details

I. General information

NPI: 1538211636
Provider Name (Legal Business Name): CONSTANCE D HABER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 04/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2571 MOSSIDE BLVD SUITE 3
MONROEVILLE PA
15146-3576
US

IV. Provider business mailing address

2571 MOSSIDE BLVD SUITE 3
MONROEVILLE PA
15146-3576
US

V. Phone/Fax

Practice location:
  • Phone: 412-372-7900
  • Fax: 412-372-7911
Mailing address:
  • Phone: 412-372-7900
  • Fax: 412-372-7911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-001169-L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code111NT0100X
TaxonomyThermography Chiropractor
License Number001169L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number001169L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: