Provider Demographics
NPI:1730420498
Name:GOINS FAMILY CHIROPRACTIC SERVICES LLC
Entity type:Organization
Organization Name:GOINS FAMILY CHIROPRACTIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICKY
Authorized Official - Middle Name:R
Authorized Official - Last Name:GOINS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:315-729-1986
Mailing Address - Street 1:804 MONTCLAIR DR
Mailing Address - Street 2:
Mailing Address - City:NEW KENSINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15068-6866
Mailing Address - Country:US
Mailing Address - Phone:412-367-1555
Mailing Address - Fax:412-367-1544
Practice Address - Street 1:3275 BABCOCK BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-2828
Practice Address - Country:US
Practice Address - Phone:412-367-1555
Practice Address - Fax:412-367-1544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-06
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009846111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty