Healthcare Provider Details

I. General information

NPI: 1932161247
Provider Name (Legal Business Name): SEWICKLEY SPINE & JOINT CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 09/13/2022
Certification Date: 09/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1099 OHIO RIVER BLVD
SEWICKLEY PA
15143-2056
US

IV. Provider business mailing address

1099 OHIO RIVER BLVD
SEWICKLEY PA
15143-2056
US

V. Phone/Fax

Practice location:
  • Phone: 412-741-3377
  • Fax: 412-741-3273
Mailing address:
  • Phone: 412-741-3377
  • Fax: 412-741-3273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberDC004461L
License Number StatePA

VIII. Authorized Official

Name: DR. MADELYNNE KAY GALATIC
Title or Position: OWNER
Credential: DC
Phone: 412-741-3377