Organization
G L PAGENKOPF CO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L PAGENKOPF DC (OWNER)
(814) 922-3800
Entity
Organization
Contact information
Practice address
14603 RIDGE ROAD, WEST SPRINGFIELD, PA 16443
(814) 922-3800
Mailing address
181 LEITH WALK EXT, CONNAUT, OH 44030
(440) 593-2078
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002428L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008625260001
—
PA
05
—
0492293
—
OH
01
—
0662096
AETNA
PA
01
—
104767
HIGHMARK
PA
05
—
1500250
—
PA
05
—
153721
—
PA
01
—
210837
UPMC
PA
01
—
4644065
AETNA
PA
01
—
6667738
CIGNA
PA
01
—
714797
HIGHMARK
PA
Enumeration date
09/20/2006
Last updated
08/22/2020
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