Provider Demographics
NPI:1730206947
Name:SQUIRREL HILL CHIROPRACTIC CARE, INC.
Entity type:Organization
Organization Name:SQUIRREL HILL CHIROPRACTIC CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:GORMAN
Authorized Official - Last Name:MCCONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-521-4455
Mailing Address - Street 1:2728 MURRAY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2420
Mailing Address - Country:US
Mailing Address - Phone:412-521-4455
Mailing Address - Fax:412-521-4897
Practice Address - Street 1:2728 MURRAY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2420
Practice Address - Country:US
Practice Address - Phone:412-521-4455
Practice Address - Fax:412-521-4897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1407876089OtherJ MCCONNELL NPI
PA1477573053OtherK MCCONNELL NPI
PA000757961OtherHIGHMARK K AND J
PA102879OtherJ MCCONNELL UPMC
PA101736OtherK MCCONNELL UPMC
PA000757961Medicare ID - Type UnspecifiedK AND J MCCONNELL
PA1477573053OtherK MCCONNELL NPI
PA145373Medicare UPIN