Organization
PENN CENTER CHIROPRACTIC & REHAB PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY BENZ SUCCOP D.C. (DIRECTOR)
(412) 823-2180
Entity
Organization
Contact information
Practice address
3424 WILLIAM PENN HWY, SUITE 168, PITTSBURGH, PA 15235-5444
(412) 823-2180
(412) 823-6165
Mailing address
3424 WILLIAM PENN HWY, SUITE 168, PITTSBURGH, PA 15235-5444
(412) 823-2180
(412) 823-6165
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009354
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001669989
HIGHMARK BC/BS
PA
01
—
722970
UPMC
PA
Enumeration date
10/03/2012
Last updated
10/03/2012
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