Organization
CHIROPLUS OF LOCUST LANE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY S FREDERICK D.C. (OWNER)
(717) 545-6063
Entity
Organization
Contact information
Practice address
4607 LOCUST LN, HARRISBURG, PA 17109-4449
(717) 545-6063
(717) 545-8510
Mailing address
4607 LOCUST LN, HARRISBURG, PA 17109-4449
(717) 545-6063
(717) 545-8510
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005233R
PA
Other
Enumeration date
08/11/2005
Last updated
06/06/2008
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