Active NPI
Chiropractic and Wellness Works,LLC
- Rehabilitation Chiropractor
- Hermitage, PA
National Provider Identifier
1366716672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- DC010518
- Legal business name
- CHIROPRACTIC AND WELLNESS WORKS,LLC
- Practice address
- 490 N Kerrwood Dr
Suite 204
Hermitage, PA 16148-5202 - Phone
- (724) 342-7778
- Fax
- (724) 342-7373
- NPI assigned
- Mar 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eugene Mennow II, DC
- Title
- Owner
- Phone
- (724) 342-7778
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC010518 | PA | Primary |
Addresses
Primary practice location
490 N Kerrwood Dr
Suite 204
Hermitage, PA 16148-5202
Mailing address
490 N Kerrwood Dr
Suite 204
Hermitage, PA 16148-5202
Phone (724) 342-7778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002678882 | Other | PA | HIGHMARK OF PENNSYLVANIA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Mauldin, SC
- NPI 1720050453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330905600000",
"number": "1366716672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 N KERRWOOD DR",
"address_2": "SUITE 204",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161485202",
"telephone_number": "724-342-7778",
"fax_number": "724-342-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 N KERRWOOD DR",
"address_2": "SUITE 204",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161485202",
"telephone_number": "724-342-7778",
"fax_number": "724-342-7373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTIC AND WELLNESS WORKS,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-05",
"last_updated": "2012-03-05",
"status": "A",
"authorized_official_last_name": "MENNOW",
"authorized_official_first_name": "EUGENE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "724-342-7778",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "PA",
"license": "DC010518",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK OF PENNSYLVANIA",
"identifier": "002678882",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.