Individual
MR. CHAD W SACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1310 BALTIMORE STREET, HANOVER, PA 17331
(717) 633-9500
(717) 633-5739
Mailing address
1310 BALTIMORE STREET, HANOVER, PA 17331
(717) 633-9500
(717) 633-5739
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005914L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53316902
CAREFIRST BCBS
—
01
—
SA1301708
BLUE SHIELD
PA
01
—
SA40472
BLUE SHIELD
PA
01
—
T6090001
CAREFIRST BCBS
DC
Enumeration date
10/28/2006
Last updated
07/08/2007
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