Pro Adjuster-Austintown Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3292 Issued in OH

Legal business name

PRO ADJUSTER-AUSTINTOWN INC

Practice address

4241 Kirk Rd
Youngstown, OH 44511-1839

Phone

(330) 793-0711

Fax

(330) 793-9419

NPI assigned

Jun 21, 2007

Last updated

Dec 7, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Scott William Petrallo, D.C.NPI 1477641413

Title

Ceo

Phone

(330) 793-0711

Specialties & licenses 1

Addresses

Other names 1

• Austintown Chiropractic Center Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott W. Petrallo, DC

  • Chiropractor
  • Youngstown, OH
  • NPI 1477641413
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1083810741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 KIRK RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445111839",
            "telephone_number": "330-793-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 KIRK RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445111839",
            "telephone_number": "330-793-0711",
            "fax_number": "330-793-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO ADJUSTER-AUSTINTOWN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "PETRALLO",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-793-0711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austintown Chiropractic Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Chiropractor in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.