Organization
MIFFLINTOWN FAMILY CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ANTHONY DEBENEDETTO D.C. (PRESIDENT)
(717) 242-1215
Entity
Organization
Contact information
Practice address
10 WEATHERBY WAY, MIFFLINTOWN, PA 17059-8901
(717) 436-9017
(717) 436-5695
Mailing address
138 WEATHERBY WAY, MIFFLINTOWN, PA 17059-8902
(717) 436-9017
(717) 436-5695
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004647-L
PA
111N00000X
Chiropractor
DC004818-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI963648
HIGHMARK BLUE SHIELD
PA
Enumeration date
02/12/2007
Last updated
08/21/2023
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