Healthcare Provider Details
I. General information
NPI: 1346269537
Provider Name (Legal Business Name): HUFNAGEL CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
91 FORT COUCH RD
PITTSBURGH PA
15241-1033
US
IV. Provider business mailing address
91 FORT COUCH RD
PITTSBURGH PA
15241-1033
US
V. Phone/Fax
- Phone: 412-835-7001
- Fax: 412-835-2269
- Phone: 412-835-7001
- Fax: 412-835-2269
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC007381L |
| License Number State | PA |
VIII. Authorized Official
Name:
MELISSA
ROMANELLI
Title or Position: BILLING
Credential:
Phone: 724-387-2455