Organization
BLACKLEDGE FAMILY CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL D BLACKLEDGE D.C. (PRESIDENT / CHIROPRACTOR)
(570) 383-4963
Entity
Organization
Contact information
Practice address
200 MAIN ST, 2ND FLOOR, BLAKELY, PA 18447-1241
(570) 383-4963
(570) 383-4964
Mailing address
PO BOX 271, PECKVILLE, PA 18452-0271
(570) 383-4963
(570) 383-4964
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009663
PA
Other
Enumeration date
11/24/2008
Last updated
01/13/2012
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