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Organization
TEJAN CHIROPRACTIC INC
Active
Organization
TEJAN CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S TEJAN DC (PRESIDENT)
(724) 375-5534
Entity
Organization
Contact information
Practice address
4012 JORDAN STREET, BOX 420, SOUTH HEIGHTS, PA 15081-0420
(724) 375-5534
(724) 375-5575
Mailing address
4012 JORDAN STREET, BOX 420, SOUTH HEIGHTS, PA 15081-0420
(724) 375-5534
(724) 375-5575
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC003643L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004258151
AETNA PPO
PA
05
—
0011157650001
—
PA
01
—
001465580
HIGHMARK BC BS
PA
01
—
1198057
CIGNA
PA
05
—
141190
—
PA
05
—
1984961-01
—
PA
01
—
200146
UPMC
PA
01
—
2675833
AETNA HMO
PA
01
—
329860
HEALTH AMERICA
PA
01
—
381900
UNITED HEALTHCARE
PA
01
—
MT382067
ASHN
PA
Enumeration date
01/24/2006
Last updated
07/28/2016
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