Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | CH10492 | FL |
Y | 111NR0400X | Rehabilitation Chiropractor | DC011192 | PA |
NPI | 1164790499 |
---|---|
Provider Name | Dr. Jiovanni Pabilonia |
First Address | Pittsburgh, PA 15205-4126 |
Second Address | Pittsburgh, PA 15205-4126 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2011 |
Last Update Date | 12/06/2019 |