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Organization
WATERS CHIROPRACTIC CENTER P.C.
Active
Organization
WATERS CHIROPRACTIC CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN M WATERS D.C. (PRESIDENT)
(717) 277-0612
Entity
Organization
Contact information
Practice address
115 E WALNUT ST, LEBANON, PA 17042-5522
(717) 277-8061
(717) 277-0613
Mailing address
115 E WALNUT ST, LEBANON, PA 17042-5522
(717) 277-8061
(717) 277-0613
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007292L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0763651000
INDEPENDANCE BLUE CROSS
—
01
—
1696780
BLUE SHIELD
PA
01
—
20060432
AMERI HEALTH MERCY
—
01
—
410721
HEALTH ASSURANCE
—
01
—
485449
AETNA
—
01
—
50013490
BLUE CROSS
—
Enumeration date
02/26/2007
Last updated
12/21/2016
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