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Organization
SSOR, INC
Active
Organization
SSOR, INC
Active
Other names
Skyview Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY M BEDESEM D.C. (PRESIDENT/OWNER)
(717) 925-1078
Entity
Organization
Contact information
Practice address
531 BURNHAM CT, LANCASTER, PA 17601-7403
(717) 925-1078
Mailing address
531 BURNHAM CT, LANCASTER, PA 17601-7403
(717) 925-1078
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002899L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093022410
MEDICARE TYPE I NPI
PA
Enumeration date
05/13/2011
Last updated
12/04/2012
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