MEDICARE: LEVEL3EMR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	111N00000X	Chiropractor
2	111NI0013X	Independent Medical Examiner Chiropractor
3	111NR0400X	Rehabilitation Chiropractor
4	2255A2300X	Athletic Trainer
5	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1356657159
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEVEL3EMR

Provider Business Mailing Address
First Line	:	300 BILMAR DR
Second Line	:	SUITE 200
City	:	PITTSBURGH
State	:	PA
Zip	:	15205-4606
Country	:	US
Telephone Number	:	412-960-5000
Fax Number	:	412-960-5059

Provider Business Practice Location Address
First Line	:	300 BILMAR DR
Second Line	:	SUITE 200
City	:	PITTSBURGH
State	:	PA
Zip	:	15205-4606
Country	:	US
Telephone Number	:	412-960-5000
Fax Number	:	412-960-5059

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MR. MICHAEL JOSEPH BORO III
Credential	:
Telephone Number	:	412-960-5000

Provider Enumeration Date	:	08/31/2010
Last Update Date	:	08/31/2010

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Directions to “LEVEL3EMR ” Practice Location

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