Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC003414L | PA |
NPI | 1588642623 |
---|---|
Provider Name | Dr. Eric Segal |
First Address | Pittsburgh, PA 15206-4380 |
Second Address | Pittsburgh, PA 15206-4380 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2006 |
Last Update Date | 26/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U08239 | (02) | PA |