Organization
HEALTHSOURCE OF BETHLEHEM LLC
Active
Organization
HEALTHSOURCE OF BETHLEHEM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY MICHAEL HURON D.C. (PRESIDENT)
(484) 282-1633
Entity
Organization
Contact information
Practice address
3864 COURTNEY ST, SUITE 150, BETHLEHEM, PA 18017-8987
(484) 282-1644
Mailing address
3864 COURTNEY ST, SUITE 150, BETHLEHEM, PA 18017-8987
(484) 282-1644
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC005305L
PA
111NR0400X
Rehabilitation Chiropractor
Primary
AJ005305L
PA
Other
Enumeration date
01/08/2007
Last updated
07/18/2007
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