Healthcare Provider Details

I. General information

NPI: 1528050200
Provider Name (Legal Business Name): RICHARD G HUFNAGEL JR. DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 12/16/2014
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

Practice location:
  • Phone: 412-835-7001
  • Fax:
Mailing address:
  • Phone: 412-835-7001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC007381L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: