Provider Demographics
NPI:1144291808
Name:DR MICHAEL A NEMANIC DC PC
Entity type:Organization
Organization Name:DR MICHAEL A NEMANIC DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:NEMANIC
Authorized Official - Suffix:
Authorized Official - Credentials:DC PC
Authorized Official - Phone:412-271-8030
Mailing Address - Street 1:106 YOST BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-4834
Mailing Address - Country:US
Mailing Address - Phone:412-271-8030
Mailing Address - Fax:412-273-9110
Practice Address - Street 1:106 YOST BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-4834
Practice Address - Country:US
Practice Address - Phone:412-271-8030
Practice Address - Fax:412-273-9110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-31
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001478L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE912188OtherHIGHMARK BC/BS
441350301OtherMEDICARE RAILROAD
NE912188OtherHIGHMARK BC/BS