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Organization
WALTERS CHIROPRACTIC, P.C.
Active
Organization
WALTERS CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON R WALTERS D.C. (OWNER)
(717) 259-8056
Entity
Organization
Contact information
Practice address
121 W KING ST, EAST BERLIN, PA 17316-9728
(717) 259-8056
(717) 259-6774
Mailing address
121 W KING ST, PO BOX 763, EAST BERLIN, PA 17316-9728
(717) 259-8056
(717) 259-6774
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC006278L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03086800
CAPITAL BLUE CROSS
PA
01
—
0652142000
INDEPENDENCE BLUE CROSS B
PA
01
—
2226775
AETNA
PA
01
—
273643
MAMSI
PA
01
—
5990505
AETNA
PA
01
—
8661359001
CIGNA
PA
01
—
WA761669
BLUE CROSS BLUE SHIELD
PA
Enumeration date
03/30/2007
Last updated
04/20/2008
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