Healthcare Provider Details

I. General information

NPI: 1801459797
Provider Name (Legal Business Name): G AND S CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2019
Last Update Date: 11/27/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

785 PINE VALLEY DR
PITTSBURGH PA
15239-2842
US

IV. Provider business mailing address

785 PINE VALLEY DR
PITTSBURGH PA
15239-2842
US

V. Phone/Fax

Practice location:
  • Phone: 724-733-2225
  • Fax: 724-733-2500
Mailing address:
  • Phone: 724-733-2225
  • Fax: 724-733-2500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: BRIAN ROBERT GREEN
Title or Position: PARTNER/DOCTOR
Credential: DC
Phone: 724-733-2225