Organization
CHAD D. BUOHL, PC
Active
Other names
East Berlin Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD DAVID BUOHL D.C. (CHIROPRACTOR)
(717) 259-8813
Entity
Organization
Contact information
Practice address
337 W KING ST, EAST BERLIN, PA 17316-9730
(717) 259-8813
(717) 259-0988
Mailing address
PO BOX 1010, EAST BERLIN, PA 17316-1010
(717) 259-8813
(717) 259-0988
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007522L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10923906
CAQH TRIAD HEALTH AMERICA
PA
01
—
3478163
AETNA HMO
PA
01
—
50030447
GROUP KEYSTONE HMO
PA
01
—
7373065
AETNA PPO
PA
01
—
903165
HIGHMARK BLUE SHIELD
PA
Enumeration date
03/22/2007
Last updated
08/22/2020
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