Provider Demographics
NPI:1215144571
Name:SUKEL, TRICIA GRANT (DC)
Entity type:Individual
Prefix:DR
First Name:TRICIA
Middle Name:GRANT
Last Name:SUKEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:417 ALPINE VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3752
Mailing Address - Country:US
Mailing Address - Phone:724-327-8387
Mailing Address - Fax:724-327-8387
Practice Address - Street 1:2750 ROUTE 286
Practice Address - Street 2:SUITE 5
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15239
Practice Address - Country:US
Practice Address - Phone:724-327-2101
Practice Address - Fax:724-327-8387
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007395L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor