Individual
BRYN ALEXA GILLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
HC 1 BOX 10, BRODHEADSVILLE, PA 18322-9660
(570) 992-2929
(570) 992-3221
Mailing address
HC1 BOX 10, BRODHEADSVILLE, PA 18322-9660
(570) 992-2929
(570) 992-3221
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007914L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1783617
AMERIHEALTH
PA
01
—
2622014000
INDEP PERSONAL CHOICE
PA
01
—
819689
FIRST PRIORITY
PA
01
—
9701133
GHI
PA
Enumeration date
10/17/2006
Last updated
07/08/2007
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