Provider Demographics
NPI:1154369312
Name:MAGER, JAMES JOSEPH (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:JOSEPH
Last Name:MAGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 MOUNT LEBANON BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-1511
Mailing Address - Country:US
Mailing Address - Phone:412-341-3332
Mailing Address - Fax:412-341-3370
Practice Address - Street 1:305 MOUNT LEBANON BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1511
Practice Address - Country:US
Practice Address - Phone:412-341-3332
Practice Address - Fax:412-341-3370
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002183L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4274223OtherAETNA
PA407157OtherHIGHMARK
PA201218OtherUPMC
PA407157OtherHIGHMARK
PA4274223OtherAETNA