Individual
DR. PAUL RAYMOND MAHLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1144 WYOMING AVE, FORTY FORT, PA 18704-4015
(570) 283-1610
(570) 338-6974
Mailing address
1144 WYOMING AVE, FORTY FORT, PA 18704-4015
(570) 283-1610
(570) 338-6974
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008627
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018774160001
—
PA
01
—
043648674
DEVON
PA
01
—
053005U8R
MEDICARE PTAN
—
01
—
1334931
BLUE CROSS/ BLUE SHEILD
PA
01
—
817976
FIRST PRIORITY BC/BS NEPA
PA
Enumeration date
12/28/2005
Last updated
02/20/2024
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