Organization
FERNDALE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI LYNN WALTER D.C. (OWNER)
(814) 288-2288
Entity
Organization
Contact information
Practice address
500 GALLERIA DR STE 147, JOHNSTOWN, PA 15904-8911
(814) 288-2288
Mailing address
505 HARLAN AVE, JOHNSTOWN, PA 15905-3915
(814) 288-2288
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FE162767
HIGHMARK BC/BS
PA
Enumeration date
01/03/2008
Last updated
08/07/2024
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