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Individual

DEAN RALPH BURKHOLDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
9318 MOLLY PITCHER HWY, SHIPPENSBURG, PA 17257-9205
(717) 532-8873
(717) 532-3845
Mailing address
9318 MOLLY PITCHER HWY, SHIPPENSBURG, PA 17257-9205
(717) 532-8873
(717) 532-3845

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC001937L
PA
111NS0005X
Sports Physician Chiropractor
Primary
DC001937L, CERT #73
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006213800003
PA
01
287165
MAMSI
01
555345
AETNA
Enumeration date
07/20/2005
Last updated
03/19/2010
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