Organization
ADVANCED CHIROPRACTIC & REHAB, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSTIN W GLASS DC (OWNER)
(717) 898-8900
Entity
Organization
Contact information
Practice address
900B CENTERVILLE RD, LANCASTER, PA 17601-1416
(717) 898-8900
(717) 898-6009
Mailing address
900B CENTERVILLE RD, LANCASTER, PA 17601-1416
(717) 898-8900
(717) 898-6009
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008781
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1190412
AETNA
PA
01
—
50003718
CAPITAL BLUE CROSS
PA
01
—
AD1775455
HIGHMARK BLUE SHIELD
PA
01
—
P00231877
RAILROAD MEDICARE
PA
Enumeration date
05/23/2006
Last updated
05/12/2008
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