Individual
DR. JENNIFER JUSTINE BEALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
7842 BOYERTOWN PIKE, BOYERTOWN, PA 19512-8109
(610) 689-3700
(610) 689-4467
Mailing address
7842 BOYERTOWN PIKE, BOYERTOWN, PA 19512-8109
(610) 689-3700
(610) 689-4467
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009161
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076809RXF
MEDICARE PROVIDER #
PA
01
—
076809UWA
MEDICARE PROVIDER #
PA
01
—
1064067
AMERICAN SPECIALTY HEALTH
PA
01
—
1107802
AETNA HMO #
PA
01
—
2620475000
PERSONAL CHOICE
PA
01
—
50057698
CAPITAL BC PROVIDER ID
PA
01
—
50057700
CAPITAL BC GROUP ID
PA
01
—
7097799
AETNA PPO GROUP #
PA
01
—
7694759
AETNA PPO PROVIDER #
PA
01
—
BE1783140
HIGHMARK
PA
Enumeration date
11/21/2005
Last updated
08/05/2011
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