Provider Demographics
NPI:1386774354
Name:MUSTIN, STEVEN ALAN (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ALAN
Last Name:MUSTIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:LANI
Other - Middle Name:MARIA
Other - Last Name:MUSTIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:69 N WREN DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1247
Mailing Address - Country:US
Mailing Address - Phone:412-429-8884
Mailing Address - Fax:412-429-9228
Practice Address - Street 1:69 N WREN DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1247
Practice Address - Country:US
Practice Address - Phone:412-429-8884
Practice Address - Fax:412-429-9228
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-004327-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor