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Individual

GLEN E HOLLIDAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
500 CIRCLE DR, A MANOWN PROFESSIONAL BUILDING, BELLE VERNON, PA 15012-9680
(724) 929-8766
(724) 929-8767
Mailing address
500 CIRCLE DR, A MANOWN PROFESSIONAL BUILDING, BELLE VERNON, PA 15012-9680
(724) 929-8766
(724) 929-8767

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC003253L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01398348
PA
01
103337
UPMC HEALTH PLAN
PA
01
329874
HEALTH AMERICA HEALTH ASS
PA
01
5457054
AETNA
PA
01
789620
HIGHMARK
PA
01
9082268
CIGNA
PA
Enumeration date
11/07/2006
Last updated
03/30/2012
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