Provider Demographics
NPI:1902951734
Name:SHAMS CHIROPRACTIC CLINIC
Entity type:Organization
Organization Name:SHAMS CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HABIB
Authorized Official - Middle Name:S
Authorized Official - Last Name:SHAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-931-2273
Mailing Address - Street 1:1006 W VIEW PARK DR
Mailing Address - Street 2:
Mailing Address - City:WEST VIEW
Mailing Address - State:PA
Mailing Address - Zip Code:15229-1771
Mailing Address - Country:US
Mailing Address - Phone:412-931-2273
Mailing Address - Fax:412-931-5638
Practice Address - Street 1:1006 W VIEW PARK DR
Practice Address - Street 2:
Practice Address - City:WEST VIEW
Practice Address - State:PA
Practice Address - Zip Code:15229-1771
Practice Address - Country:US
Practice Address - Phone:412-931-2273
Practice Address - Fax:412-931-5638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAV11452Medicare UPIN
PA107755Medicare PIN