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Organization
WESTERN PENNSYLVANIA SPINE INSTITUTE, P.C.
Active
Organization
WESTERN PENNSYLVANIA SPINE INSTITUTE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH CHARLES WILLIS DC (PRESIDENT)
(724) 731-0007
Entity
Organization
Contact information
Practice address
1900 WATERDAM PLAZA, BLDG #3, MCMURRAY, PA 15317-5442
(724) 731-0007
(724) 731-0040
Mailing address
1900 WATERDAM PLAZA, BLDG #3, MCMURRAY, PA 15317-5442
(724) 731-0007
(724) 731-0040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005679L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376676007
PROVIDER NPI
PA
01
—
1457423675
MEDICARE NPI
PA
01
—
619690R7B
PROVIDER MEDICARE PIN
PA
Enumeration date
11/14/2006
Last updated
11/15/2007
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