Individual
DR. GREGORY P STOKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., C.C.S.P.
Contact information
Practice address
101 DELAWARE RD, RIEGELSVILLE, PA 18077-7005
(610) 749-0611
(610) 749-0911
Mailing address
PO BOX 181, RIEGELSVILLE, PA 18077-0181
(610) 749-0611
(610) 749-0911
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC006302L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0833961000
PERSONAL CHOICE
PA
01
—
1032053
ASHN ID#
PA
01
—
23-2827854
TAX ID#
PA
01
—
369667000
INDEPENDENCE BLUE
PA
01
—
5214126
AENTA ID#
PA
01
—
808232
BLUE SHIELD ID#
PA
01
—
P1121505
OXFORD ID#
PA
Enumeration date
11/14/2006
Last updated
11/16/2011
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