Healthcare Provider Details

I. General information

NPI: 1750533410
Provider Name (Legal Business Name): FRAZETTA FAMILY CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2008
Last Update Date: 02/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

846 PITTSBURGH ST
SPRINGDALE PA
15144-1623
US

IV. Provider business mailing address

846 PITTSBURGH ST
SPRINGDALE PA
15144-1623
US

V. Phone/Fax

Practice location:
  • Phone: 724-274-9440
  • Fax: 724-274-0858
Mailing address:
  • Phone: 724-274-9440
  • Fax: 724-274-0858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. SEBASTIAN JOHN FRAZETTA X
Title or Position: PRESIDENT
Credential: D.C
Phone: 724-274-9440