Individual
JEREMY BENZ SUCCOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3424 WILLIAM PENN HWY, SUITE 168, PITTSBURGH, PA 15235-5444
(412) 823-2180
(412) 823-6165
Mailing address
3424 WILLIAM PENN HWY, SUITE 168, PITTSBURGH, PA 15235-5444
(412) 823-2180
(412) 823-6165
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009354
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016689
BLUE SHIELD
PA
Enumeration date
01/03/2007
Last updated
05/30/2012
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