Individual
FERNANDO O'LOUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
826 CHRISTIAN ST SIDE ENTRANCE, PHILADELPHIA, PA 19147-3947
(215) 922-2242
(215) 922-2243
Mailing address
269 SPRINGDALE TER, YARDLEY, PA 19067-3422
(215) 922-2242
(215) 922-2243
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008761
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001416434
HIGHMARK BLUE SHIELD
PA
01
—
2103005000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
12/27/2006
Last updated
07/02/2010
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