Healthcare Provider Details
I. General information
NPI: 1386715464
Provider Name (Legal Business Name): STEEL VALLEY CHIROPRACTIC HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/13/2006
Last Update Date: 02/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3809 MAIN STREET
MUNHALL PA
15120
US
IV. Provider business mailing address
3809 MAIN STREET
MUNHALL PA
15120
US
V. Phone/Fax
- Phone: 412-462-2909
- Fax: 412-462-9490
- Phone: 412-462-2909
- Fax: 412-462-9490
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC003393L |
| License Number State | PA |
VIII. Authorized Official
Name: DR.
MARK
VINCENT
MINUTO
Title or Position: PRESIDENT
Credential: DC
Phone: 412-462-2909