Organization
EXCEL CHIROPRACTIC AND REHABILITATION LLC
Active
Organization
EXCEL CHIROPRACTIC AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH VANWAGNER (OWNER)
(412) 489-6036
Entity
Organization
Contact information
Practice address
4898 CAMPBELLS RUN RD # A, PITTSBURGH, PA 15205-1338
(412) 489-6036
Mailing address
4898 CAMPBELLS RUN RD # A, PITTSBURGH, PA 15205-1338
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC010915
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC010915
STATE LICENSE
PA
Enumeration date
08/06/2018
Last updated
02/27/2020
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