Organization
KEYSTONE SPINE RESEARCH, SOMATIC STUDIES AND ORTHOPAEDIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JAMES LIGHT DC (CHIROPRACTOR)
(724) 437-9020
Entity
Organization
Contact information
Practice address
111 E MAIN ST, UNIONTOWN, PA 15401-3607
(724) 437-9020
(724) 437-0295
Mailing address
111 E MAIN ST, UNIONTOWN, PA 15401-3607
(724) 437-9020
(724) 437-0295
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4928L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043386
WV WORK COMP PROVIDER
WV
01
—
1539534
GATEWAY PROVIDER
PA
05
—
1619126
—
PA
01
—
351224
HIGHMARK BC BS GROUP NO
PA
Enumeration date
05/29/2007
Last updated
03/18/2011
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