Individual
JEREMIAH BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12875 US-30, SUITE 25, NORTH HUNTINGDON, PA 15642
(724) 382-5576
Mailing address
2 JENNY LYNN CT APT D, PITTSBURGH, PA 15239-3504
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC011815
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31258447
DRIVERS LICENSE NUMBER
PA
Enumeration date
01/30/2023
Last updated
01/30/2023
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