Provider Demographics
NPI:1518603422
Name:CARNAHAN, CALLAN (DC)
Entity type:Individual
Prefix:
First Name:CALLAN
Middle Name:
Last Name:CARNAHAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:738 EATHAN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15226-1625
Mailing Address - Country:US
Mailing Address - Phone:724-825-5702
Mailing Address - Fax:
Practice Address - Street 1:500 S AIKEN AVE STE 104
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1505
Practice Address - Country:US
Practice Address - Phone:724-825-5702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-12
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013604111N00000X
PADC012044111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADC012044OtherLICENSE