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Organization

ALWAYS BELIEVE IN YOUR DREAMS, LLC

Active
Other names
Ketcham Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JON MARK KETCHAM (CHIROPRACTOR)
(814) 337-0128
Entity
Organization

Contact information

Practice address
765 PARK AVE, MEADVILLE, PA 16335-2546
(814) 337-0128
(814) 337-0164
Mailing address
765 PARK AVE, MEADVILLE, PA 16335-2546
(814) 337-0128
(814) 337-0164

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC006808L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001616400 0006
PA
01
205078
UPMC
PA
01
KE596806
HIGHMARK BLUE CROSS / BLUE SHIELD
PA
Enumeration date
01/26/2011
Last updated
01/26/2011
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