Yorktowne Chiropractic Health Centre | |
1776 S Queen St, 101 B, York, PA 17403-4628 | |
(717) 848-5400 | |
(717) 848-1071 |
Full Name | Yorktowne Chiropractic Health Centre |
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Type | Facility |
Speciality | Chiropractor |
Location | 1776 S Queen St, York, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568581015 | NPI | - | NPPES |
1316931553 | Other | PA | TYPE 1 |
0014751980001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC 005036 L (Pennsylvania) | Primary |
Provider Name | Phillip Randolph Jeanmenne |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1316931553 PECOS PAC ID: 1557364767 Enrollment ID: I20060823000444 |
Provider Name | Cody B Somerville |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1497464457 PECOS PAC ID: 5193194355 Enrollment ID: I20221209000901 |
Mailing Address | Practice Location Address |
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Yorktowne Chiropractic Health Centre 1776 S Queen St, 101 B, York, PA 17403-4628 Ph: (717) 848-5400 | Yorktowne Chiropractic Health Centre 1776 S Queen St, 101 B, York, PA 17403-4628 Ph: (717) 848-5400 |
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