Provider Demographics
NPI:1528100823
Name:NANCY GUZY-VENICK, CHIROPRACTIC, P.C.
Entity type:Organization
Organization Name:NANCY GUZY-VENICK, CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ALEXANDRIA
Authorized Official - Last Name:GUZY-VENICK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-822-7509
Mailing Address - Street 1:86 LOCUST RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15209-2088
Mailing Address - Country:US
Mailing Address - Phone:412-822-7509
Mailing Address - Fax:
Practice Address - Street 1:575 LINCOLN AVE STE 202
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:PA
Practice Address - Zip Code:15202-3550
Practice Address - Country:US
Practice Address - Phone:412-822-7509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006479-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1610120Medicaid
PA1610120Medicaid
PA01610120Medicare ID - Type Unspecified