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Individual

BENNA MARGUARITA CLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
220 N BROAD ST, GROVE CITY, PA 16127-1638
(724) 264-4667
Mailing address
220 N BROAD ST, GROVE CITY, PA 16127-1638
(724) 264-4667

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009728
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1720318207
GROUP NPI
PA
01
412541
UPMC
PA
01
724922
UNITED
PA
01
908757
HEALTH AMERICA/HEALTH ASSURANCE
PA
01
C12054099
BCBS
PA
Enumeration date
12/11/2007
Last updated
08/12/2010
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