Individual
DR. COREY A BOOKHAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
105 E MAIN ST, REYNOLDSVILLE, PA 15851-1244
(814) 653-9514
(814) 653-8842
Mailing address
105 E MAIN ST, REYNOLDSVILLE, PA 15851-1244
(814) 653-9514
(814) 653-8842
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC011421
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030038310001
—
PA
01
—
DC011421
CHIROPRACTIC LICENSE
PA
Enumeration date
11/14/2018
Last updated
11/14/2018
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