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Organization
SUMMIT EMG ASSOCIATES, PLLC
Active
Organization
SUMMIT EMG ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHAFT DC (INSURANCE COORDINATOR)
(717) 460-7712
Entity
Organization
Contact information
Practice address
1300 BENT CREEK BLVD, MECHANICSBURG, PA 17050-1871
(717) 706-3477
(717) 706-3476
Mailing address
216 HOPE DR, BOILING SPRINGS, PA 17007-9584
(570) 332-5026
(717) 706-3476
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
—
NULL
111NN0400X
Neurology Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023102233
INDIVIDUAL NPI
—
01
—
WE96128
HIGHMARK BLUE SHIELD
PA
Enumeration date
02/20/2019
Last updated
02/20/2019
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