Provider Demographics
NPI:1528466406
Name:PIGNATARO FAMILY CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:PIGNATARO FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:PIGNATARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-339-0889
Mailing Address - Street 1:2510 CAPITAL AVE SW
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-4046
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2510 CAPITAL AVE SW
Practice Address - Street 2:SUITE 2
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-4046
Practice Address - Country:US
Practice Address - Phone:269-339-0889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008437111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty