Provider Demographics
NPI:1861789612
Name:MCCAULEY FAMILY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:MCCAULEY FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:MCCAULEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-592-6849
Mailing Address - Street 1:447 CASTLE SHANNON BLVD
Mailing Address - Street 2:MCCAULEYFAMILYCHIROPRACTIC.COM
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-1411
Mailing Address - Country:US
Mailing Address - Phone:412-892-9330
Mailing Address - Fax:
Practice Address - Street 1:447 CASTLE SHANNON BLVD
Practice Address - Street 2:
Practice Address - City:MT LEBANON
Practice Address - State:PA
Practice Address - Zip Code:15234-1411
Practice Address - Country:US
Practice Address - Phone:412-592-9849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-30
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010177111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty