Individual
DR. MICHAEL GERARD BENNESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
30 EAST SHADY LANE, ENOLA, PA 17025
(717) 732-2222
(717) 732-9811
Mailing address
30 EAST SHADY LANE, ENOLA, PA 17025
(717) 732-2222
(717) 732-9811
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008015L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001314434
HIGHMARK B. S.
PA
01
—
02978500
CAPITAL BLUE CROSS
PA
01
—
1035099
ASHN
PA
Enumeration date
04/18/2006
Last updated
10/08/2012
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