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Organization
SUMMIT CHIROPRACTIC CLINIC
Active
Organization
SUMMIT CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID D PASSARELLI D.C. (OWNER-CHIROPRACTOR)
(814) 237-2225
Entity
Organization
Contact information
Practice address
901 BENNER PIKE, STATE COLLEGE, PA 16801-7317
(814) 237-2225
(814) 237-2520
Mailing address
901 BENNER PIKE, STATE COLLEGE, PA 16801-7317
(814) 237-2225
(814) 237-2520
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006316720001
—
PA
05
—
0009328720002
—
PA
01
—
01360451
HIGHMARK
PA
01
—
02463800
CAPITAL BLUE CROSS
PA
Enumeration date
12/20/2006
Last updated
07/09/2008
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