Individual
DR. JENNIFER L BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
107 S OAK ST, MOUNT CARMEL, PA 17851-2145
(570) 339-4599
(866) 876-8987
Mailing address
107 S OAK ST, MOUNT CARMEL, PA 17851-2145
(570) 339-4599
(866) 876-8987
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007320-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017362670001
—
PA
01
—
50000378
CAPITAL BLUE
PA
01
—
BU451351
HIGHMARK
PA
Enumeration date
07/19/2005
Last updated
10/18/2011
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