MEDICARE: HONEST CHIROPRACTIC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC007869L	PA

General Provider Information

NPI Number	:	1528498813
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HONEST CHIROPRACTIC

Provider Business Mailing Address
First Line	:	115 SUNSET LN
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15209-1026
Country	:	US
Telephone Number	:	412-486-6060
Fax Number	:	412-486-8290

Provider Business Practice Location Address
First Line	:	1412 MOUNT ROYAL BLVD
Second Line	:
City	:	GLENSHAW
State	:	PA
Zip	:	15116-2257
Country	:	US
Telephone Number	:	412-486-6060
Fax Number	:	412-486-8290

Authorized Official
Title or Position	:	OWNER
Name	:	DR. VINCENT GROSS
Credential	:	D.C.
Telephone Number	:	412-486-6060

Provider Enumeration Date	:	11/22/2013
Last Update Date	:	11/22/2013

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1184627879 — JENNIFER R ROMERO MD
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1841275351 — DR. LEROY EDWARD PRYOR D. M. D.
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Directions to “HONEST CHIROPRACTIC ” Practice Location

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