Individual
DR. RANI HEATHER WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
456 E CUMBERLAND ST, LEBANON, PA 17042-8118
(717) 926-1166
(717) 272-2326
Mailing address
545 FOX RIDGE LN, LEBANON, PA 17042-7691
(717) 926-1166
(717) 272-2326
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009034
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50037855
BLUE CROSS
PA
01
—
WA1604188
BLUE SHIELD
PA
Enumeration date
11/09/2005
Last updated
07/22/2016
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