Provider Demographics
NPI:1285156547
Name:OLVERD CHIROPRACTIC & REHABILITATION LLC
Entity type:Organization
Organization Name:OLVERD CHIROPRACTIC & REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:OLVERD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-855-5283
Mailing Address - Street 1:49 ALTADENA DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1001
Mailing Address - Country:US
Mailing Address - Phone:412-855-5283
Mailing Address - Fax:
Practice Address - Street 1:100 ROESSLER RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-1004
Practice Address - Country:US
Practice Address - Phone:412-855-5283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-08
Last Update Date:2017-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty