Individual
DR. JOHN P DEGENHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1749 E BROAD ST, HAZLETON, PA 18201
(570) 454-2474
(570) 454-0097
Mailing address
1749 E BROAD ST, HAZLETON, PA 18201
(570) 454-2474
(570) 454-0097
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002134L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008908800001
—
PA
Enumeration date
08/11/2006
Last updated
02/04/2013
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