Healthcare Provider Details

I. General information

NPI: 1154369312
Provider Name (Legal Business Name): JAMES JOSEPH MAGER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 MOUNT LEBANON BLVD SUITE 200
PITTSBURGH PA
15234-1511
US

IV. Provider business mailing address

305 MOUNT LEBANON BLVD SUITE 200
PITTSBURGH PA
15234-1511
US

V. Phone/Fax

Practice location:
  • Phone: 412-341-3332
  • Fax: 412-341-3370
Mailing address:
  • Phone: 412-341-3332
  • Fax: 412-341-3370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC002183L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: