Individual
JEREMY EDWIN RONGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
996 FREEPORT RD, FREEPORT, PA 16229
(724) 295-4400
Mailing address
996 FREEPORT RD, FREEPORT, PA 16229
(724) 295-4400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008768
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1412285
BLUE CROSS BLUE SHIELD
PA
01
—
350056935
RAIL ROAD MEDICARE
PA
01
—
422910
HEALTH ASSURANCE
PA
Enumeration date
12/05/2006
Last updated
12/09/2019
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