Organization
MT JACKSON CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID E HOSAFLOOK D.C. (OWNER DOCTOR)
(724) 667-7160
Entity
Organization
Contact information
Practice address
500 MT JACKSON ROAD, NEW CASTLE, PA 16102-2618
(724) 667-7160
(724) 667-8807
Mailing address
500 MT JACKSON ROAD, NEW CASTLE, PA 16102-2618
(724) 667-7160
(724) 667-8807
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004657L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
418693
HIGHMARK GROUP NUMBER
PA
01
—
Y18693
BLUE SHIELD
PA
Enumeration date
07/06/2006
Last updated
09/22/2008
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