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Organization

EASTERN PA. CHIROPRACTIC AND FUNCTIONAL REHAB

Active
Other names
Eastern Pa. Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CRAIG W WEISMANTEL D.C. (DOCTOR/OWNER)
(215) 536-4333
Entity
Organization

Contact information

Practice address
312 JUNIPER ST, QUAKERTOWN, PA 18951-1604
(215) 536-4333
(215) 536-5030
Mailing address
PO BOX 497, OTTSVILLE, PA 18942-0497
(215) 536-4333
(215) 536-5030

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC8644
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001546577
HIGHMARK BCBS
PA
01
2230857000
PERSONAL CHOICE
PA
01
3325817
AETNA
PA
01
664536
ACN GROUP
PA
Enumeration date
05/20/2006
Last updated
03/28/2016
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