Jeremy Benz Succop in Pittsburgh - Chiropractor
Jeremy Benz Succop - NPI 1356408793
Jeremy Benz Succop is a Chiropractor in Pittsburgh, Pennsylvania. Jeremy Benz Succop practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jeremy Benz Succop is 1356408793. The last update date is 2012-05-30.
Jeremy Benz Succop's current location address is 3424 William Penn Hwy, Pittsburgh, Pennsylvania. You can contact this provider via phone number 4128232180 and fax number 4128236165. The mailing address for Jeremy Benz Succop is 3424 William Penn Hwy, Pittsburgh, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Benz Succop |
|---|---|
| Address | 3424 William Penn Hwy, Pittsburgh, Pennsylvania |
| Phone Number | 4128232180 |
| Fax Number | 4128236165 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1356408793 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2012-05-30 |
Provider Mailing Address Detail
| Address | 3424 William Penn Hwy |
|---|---|
| City | Pittsburgh |
| State | Pennsylvania (PA) |
| Post Code | 152355444 |
| Phone Number | 4128232180 |
| Fax Number | 4128236165 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC009354 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16689 | PA | BLUE SHIELD |
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What is the unique provider identifier assigned to Jeremy Benz Succop?
The Jeremy Benz Succop has been issued the NPI (National Provider Identifier) 1356408793 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Jeremy Benz Succop?
The Jeremy Benz Succop is situated at 3424 William Penn Hwy, in the city of Pittsburgh, state of PA, with the zip code 152355444.
What is Jeremy Benz Succop's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeremy Benz Succop's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Jeremy Benz Succop receive the assignment of its 1356408793 from the Centers for Medicare & Medicaid Services?
The Jeremy Benz Succop was issued its 1356408793 by the Centers for Medicare & Medicaid Services on 2007-01-03.
As of what date was the information regarding Jeremy Benz Succop, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeremy Benz Succop, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-05-30.
NPI Number: 1063415297
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