=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952501843
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FOREST HILLS CHIROPRACTIC CENTER P C
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/19/2007
-----------------------------------------------------
Last Update Date | 11/14/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 150 FOREST HILLS PLZ
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15221-5211
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-646-4344
-----------------------------------------------------
Fax | 412-646-4316
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 150 FOREST HILLS PLZ
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15221-5211
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-646-4344
-----------------------------------------------------
Fax | 412-646-4316
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/AUTHORIZED OFFICIAL
-----------------------------------------------------
Name | DR. MICHAEL JOHN TESTEN
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 412-646-4344
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | DC005310L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------