| Susquehanna Spine & Joint Center | |
|
46 S 18th St, Columbia, PA 17512-9595 | |
| (717) 681-0198 | |
| (717) 681-0198 |
| Full Name | Susquehanna Spine & Joint Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 46 S 18th St, Columbia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679964332 | NPI | - | NPPES |
| 101651583 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC009656 (Pennsylvania) | Primary |
| Provider Name | Blake K Staker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790791580 PECOS PAC ID: 7214933985 Enrollment ID: I20061020000181 |
| Mailing Address | Practice Location Address |
|---|---|
| Susquehanna Spine & Joint Center 46 S 18th St, Columbia, PA 17512-9595 Ph: (717) 681-0198 | Susquehanna Spine & Joint Center 46 S 18th St, Columbia, PA 17512-9595 Ph: (717) 681-0198 |
Landis Family Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 547 Locust St, Columbia, PA 17512 Phone: 717-684-3426 | |
Mr. David H Landis, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 547 Locust St, Columbia, PA 17512 Phone: 717-684-3426 | |
Blake Keith Staker, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 46 South 18th Street, Columbia, PA 17512 Phone: 717-681-0198 | |
Dr. William Brian Kraft, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 501 S 9th St, Columbia, PA 17512 Phone: 717-684-9165 Fax: 717-684-1722 |