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Organization

ATHERTON BACK & NECK CARE CENTER

Active
Other names
Mikula Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID JOHN MIKULA D.C. (PRESIDENT/OWNER)
(814) 234-6699
Entity
Organization

Contact information

Practice address
1343 N ATHERTON ST, STATE COLLEGE, PA 16803-2932
(814) 234-6699
(814) 234-6899
Mailing address
1343 N ATHERTON ST, STATE COLLEGE, PA 16803-2932
(814) 234-6699
(814) 234-6899

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005374L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03087900
CAPITAL BLUE CROSS
PA
01
993588
KEYSTONE
PA
01
MI1346487
HIGHMARK
PA
01
MI20627
HIGHMARK
PA
Enumeration date
07/19/2006
Last updated
08/22/2020
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