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Organization
TROUT CHIROPRACTIC CENTER PC
Active
Organization
TROUT CHIROPRACTIC CENTER PC
Active
Other names
S Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY W TROUT DC (PRESIDENT)
(717) 436-9885
Entity
Organization
Contact information
Practice address
22 N MAIN ST, MIFFLINTOWN, PA 17059-1003
(717) 436-8281
(717) 436-5025
Mailing address
22 N MAIN ST, MIFFLINTOWN, PA 17059-1003
(717) 436-9885
(717) 436-5025
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2301004216
MI
111N00000X
Chiropractor
795
SC
111N00000X
Chiropractor
Primary
DC001304L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016781900001
—
PA
01
—
03088800
BLUE CROSS
PA
01
—
TR994246
BLUE SHIELD
PA
Enumeration date
11/14/2005
Last updated
08/22/2020
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