Organization
LIFEFORCE CHIROPRACTIC INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GUY RUSCITTO D.C. (OWNER)
(412) 655-8171
Entity
Organization
Contact information
Practice address
5400 KEEPORT DR, PITTSBURGH, PA 15236-3006
(412) 655-8171
(412) 655-7232
Mailing address
5400 KEEPORT DR, PITTSBURGH, PA 15236-3006
(412) 655-8171
(412) 655-7232
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091346
KEYSTONE HEALTH PLAN WEST
—
01
—
419412
HEALTH AMERICA/ASSURANCE
—
Enumeration date
10/02/2006
Last updated
04/01/2008
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