Healthcare Provider Details

I. General information

NPI: 1225129596
Provider Name (Legal Business Name): NATHAN THOMAS HUTCHINSON D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 ARDMORE BLVD 3 PARKWAY CENTER EAST, SUITE169
PITTSBURGH PA
15221-4608
US

IV. Provider business mailing address

147 BAKER DR
PLEASANT HILLS PA
15236-3701
US

V. Phone/Fax

Practice location:
  • Phone: 412-351-2100
  • Fax: 412-351-6997
Mailing address:
  • Phone: 412-414-2189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC008658
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: