Healthcare Provider Details

I. General information

NPI: 1528047412
Provider Name (Legal Business Name): JOSEPH MARIO ACIERNO DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2006
Last Update Date: 11/21/2022
Certification Date: 11/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722 W INGOMAR RD
PITTSBURGH PA
15237-4370
US

IV. Provider business mailing address

665 WYNGOLD DR
PITTSBURGH PA
15237-4207
US

V. Phone/Fax

Practice location:
  • Phone: 412-364-4660
  • Fax: 412-318-4016
Mailing address:
  • Phone: 412-364-4660
  • Fax: 412-318-4016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-006819-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: