| |
2200 N Susquehanna Trl, York, PA 17404-1652 | |
(717) 266-9300 | |
(717) 650-6419 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 2200 N Susquehanna Trl, York, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356502892 | NPI | - | NPPES |
2718158 | Other | PA | AETNA |
02189402 | Other | CAPITAL BLUE CROSS (PROVIDER) | |
1639343 | Medicaid | PA | |
329970 | Other | PA | HEALTH AMERICA / HEALTH ASSURANCE |
5978317-001 | Other | PA | CIGNA |
898944 | Other | PA | HIGHMARK BLUE SHIELD |
03081100 | Other | PA | CAPITAL BLUE CROSS (FACILITY) |
1528164225 | Other | PA | PERSONAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC006634L (Pennsylvania) | Primary |
Mailing Address | Practice Location Address |
---|---|
2200 N Susquehanna Trl, York, PA 17404-1652 Ph: (717) 266-9300 | 2200 N Susquehanna Trl, York, PA 17404-1652 Ph: (717) 266-9300 |
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