Healthcare Provider Details

I. General information

NPI: 1477485258
Provider Name (Legal Business Name): JACKSON R FINK
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 FORBES AVE
PITTSBURGH PA
15282-0001
US

IV. Provider business mailing address

600 FORBES AVE
PITTSBURGH PA
15282-0001
US

V. Phone/Fax

Practice location:
  • Phone: 412-396-5693
  • Fax:
Mailing address:
  • Phone: 412-396-5693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: