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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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