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Organization
ROCK CHIROPRACTIC AND REHABILITATION CENTER LLC
Active
Organization
ROCK CHIROPRACTIC AND REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON S ROCK DC (OWNER)
(215) 462-7000
Entity
Organization
Contact information
Practice address
1625 SNYDER AVE, PHILADELPHIA, PA 19145-3043
(215) 462-7000
(215) 462-6100
Mailing address
1625 SNYDER AVE, PHILADELPHIA, PA 19145-3043
(215) 462-7000
(215) 462-6100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008950
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326067638
NPI PROVIDER NUMBER
PA
01
—
1620729
HIGHMARK BLUESHIELD
PA
01
—
2313593000
KEYSTONE
PA
Enumeration date
04/10/2007
Last updated
07/24/2009
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