Organization
DEFFIBAUGH CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN IRVIN DEFFIBAUGH III D.C. (PRESIDENT,/OWNER)
(814) 276-3212
Entity
Organization
Contact information
Practice address
126 OSTER STREET, OSTERBURG, PA 16667
(814) 276-3212
(814) 276-9253
Mailing address
PO BOX 487, OSTERBURG, PA 16667-0487
(814) 276-3212
(814) 276-9254
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC003223L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010623490003
—
PA
Enumeration date
10/03/2006
Last updated
08/22/2020
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