Individual
DR. BARRY A WAHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4931 WISSAHICKON AVE, 1ST FLOOR, PHILADELPHIA, PA 19144-4800
(215) 842-2227
(215) 842-2229
Mailing address
4931 WISSAHICKON AVE, 1ST FLOOR, PHILADELPHIA, PA 19144-4800
(215) 842-2227
(215) 842-2229
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004737L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0526039000
KEYSTONE HEALTH PLAN EAST
PA
05
—
1296428
—
PA
Enumeration date
07/12/2006
Last updated
02/03/2023
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