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Organization

TOTAL BODY CHIROPRACTIC PC

Active
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Organization

TOTAL BODY CHIROPRACTIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM JOSEPH KRAH III DC (PRESIDENT)
(510) 562-7770
Entity
Organization

Contact information

Practice address
125 N. MAIN ST, TAYLOR, PA 18517
(570) 562-7770
(570) 562-7775
Mailing address
125 N. MAIN ST, TAYLOR, PA 18517
(570) 562-7770
(570) 562-7775

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007472L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017749000004
PA
01
T0471900
BLUE SHIELD
Enumeration date
08/17/2006
Last updated
09/03/2008
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