Blackledge Family Chiropractic, Pc

NPI 1013162692 - Chiropractor - 111N00000X

NPI Details
NPI 1013162692
Enumeration Date 11/24/2008
Last Updated 01/13/2012
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name PAUL D PAUL
Position PRESIDENT / CHIROPRACTOR
Phone (570) 383-4963
Fax (570) 383-4964
Practice Location
200 MAIN ST
2ND FLOOR
BLAKELY PA, 18447-1241, US
Phone (570) 383-4963
Fax (570) 383-4964
Business Location
PO BOX 271
PECKVILLE PA, 18452-0271, US
Phone (570) 383-4963
Fax (570) 383-4964
Toxanomy
Taxonomy Code 111N00000X
License State Pennsylvania
License Number DC009663
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According to our database, Blackledge Family Chiropractic, Pc NPI is 1013162692, taxonomy code is 111N00000X and license number is DC009663, license state is located at Pennsylvania. Blackledge Family Chiropractic, Pc physically located at 200 Main St, Blakely PA, 18447-1241. NPI Number 1033115704 has the healthcare provider type.

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1013162692 NPI number is provided on an as is basis without warranty of any kind. 1013162692 is maintained by the National Plan & Provider Enumeration System. The contents of Blackledge Family Chiropractic, Pc are for informational purposes only.