Provider Demographics
NPI:1588858211
Name:PINNACLE CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:PINNACLE CHIROPRACTIC, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCRACKEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:814-266-3226
Mailing Address - Street 1:2519 BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-1424
Mailing Address - Country:US
Mailing Address - Phone:814-266-3226
Mailing Address - Fax:814-262-0656
Practice Address - Street 1:335 NEES AVE
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-1239
Practice Address - Country:US
Practice Address - Phone:814-266-3226
Practice Address - Fax:814-262-0656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPADC009346111N00000X
PAPADC007458L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty