Organization
GENTLE HANDS CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANI HEATHER WADDELL D.C. (PRESIDENT/ CHIROPRACTOR)
(717) 926-1166
Entity
Organization
Contact information
Practice address
456 E CUMBERLAND ST, LEBANON, PA 17042-8118
(717) 926-1166
(717) 272-2326
Mailing address
456 E CUMBERLAND ST, LEBANON, PA 17042-8118
(717) 926-1166
(717) 272-2326
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009034
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079589SS1
MEDICARE ID - TYPE UNSPECIFIED
PA
01
—
50037855
BLUE CROSS
PA
01
—
WA1604188
BLUE SHIELD
PA
Enumeration date
05/10/2011
Last updated
06/10/2011
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