Dr Cody Benjamin Somerville, DC | |
1776 S Queen St # 101b, York, PA 17403-4628 | |
(717) 848-5400 | |
Not Available |
Full Name | Dr Cody Benjamin Somerville |
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Gender | Male |
Speciality | Chiropractor |
Location | 1776 S Queen St # 101b, York, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497464457 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC011787 (Pennsylvania) | Primary |
Provider Name | Yorktowne Chiropractic Health Centre |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568581015 PECOS PAC ID: 9739343310 Enrollment ID: O20120611000609 |
Mailing Address | Practice Location Address |
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Dr Cody Benjamin Somerville, DC 1776 S Queen St # 101b, York, PA 17403-4628 Ph: (717) 848-5400 | Dr Cody Benjamin Somerville, DC 1776 S Queen St # 101b, York, PA 17403-4628 Ph: (717) 848-5400 |
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