Organization
INTEGRATIVE HEALTH CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MANSFIELD CORNEALL III DC (OWNER)
(814) 237-5559
Entity
Organization
Contact information
Practice address
1315 W COLLEGE AVE STE 200, STATE COLLEGE, PA 16801-2776
(814) 237-5559
(814) 237-4392
Mailing address
1315 W COLLEGE AVE STE 200, STATE COLLEGE, PA 16801-2776
(814) 237-5559
(814) 237-4392
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06285128
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008909230002
—
PA
Enumeration date
08/07/2009
Last updated
11/13/2019
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