| S Corporation | |
|
22 N Main St, Mifflintown, PA 17059-1003 | |
| (717) 436-8281 | |
| (717) 436-5025 |
| Full Name | S Corporation |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 22 N Main St, Mifflintown, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518949841 | NPI | - | NPPES |
| TR994246 | Other | PA | BLUE SHIELD |
| 0016781900001 | Medicaid | PA | |
| 03088800 | Other | PA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC001304L (Pennsylvania) | Primary |
| 111N00000X | Chiropractor | 795 (South Carolina) | Secondary |
| 111N00000X | Chiropractor | 2301004216 (Michigan) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| S Corporation 22 N Main St, Mifflintown, PA 17059-1003 Ph: (717) 436-9885 | S Corporation 22 N Main St, Mifflintown, PA 17059-1003 Ph: (717) 436-8281 |
Dr. Tami Joelle Debenedetto, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10 Weatherby Way, Mifflintown, PA 17059 Phone: 717-436-9017 | |
Juniata Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 22 N Main St, Mifflintown, PA 17059 Phone: 717-436-8281 Fax: 717-436-5025 | |
Dr. Mark Anthony Debenedetto, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 10 Weatherby Way, Mifflintown, PA 17059 Phone: 717-436-9017 | |
Matthew Debenedetto, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 138 Weatherby Way, Mifflintown, PA 17059 Phone: 717-436-9017 | |
Mifflintown Family Chiropractic, Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 10 Weatherby Way, Mifflintown, PA 17059 Phone: 717-436-9017 Fax: 717-436-5695 | |
Dr. Joshua Mckinney, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 22 N Main St, Mifflintown, PA 17059 Phone: 717-436-8281 |