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Individual
RUSTIN W GLASS
Active
Individual
RUSTIN W GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008781
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1190412
AETNA
PA
01
—
50003718
CAPITAL BLUE CROSS
PA
01
—
610846400
USPS WORKMAN'S COMP
PA
01
—
AD1775455
HIGHMARK BLUE SHIELD
PA
01
—
KEYSTONE EAST
2104754000
PA
01
—
P00231877
RAILROAD EDICARE
PA
Enumeration date
03/14/2006
Last updated
05/12/2008
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