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Organization

WAYNESBURG CHIROPRACTIC CLINIC, INC.

Active
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Organization

WAYNESBURG CHIROPRACTIC CLINIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH G JANSON DC (SHAREHOLDER)
(724) 627-9119
Entity
Organization

Contact information

Practice address
3157 MOUNT MORRIS RD, SUITE 101, WAYNESBURG, PA 15370-8146
(724) 627-9119
(724) 627-7598
Mailing address
3157 MOUNT MORRIS RD, SUITE 101, WAYNESBURG, PA 15370-8146
(724) 627-9119
(724) 627-7598

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC003477L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011294570004
—
PA
01
—
1468554
BCBS
PA
01
—
70299
UNISON
PA
Enumeration date
12/15/2006
Last updated
08/22/2020
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