Individual
DR. JOHN D WANYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002182L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007675810001
—
PA
01
—
0042660000
INDEPENDENCE BLUE CROSS
PA
01
—
093081
FIRST PRIORITY HEALTH
PA
01
—
11583801
CAQH
PA
01
—
350002549
PALMETTO GBA
PA
01
—
WA1626351
HIGHMARK BLUE SHIELD
PA
Enumeration date
12/13/2006
Last updated
10/03/2007
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