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Individual

JOHN J KOLLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
127 N 7TH ST, SUITE A, AKRON, PA 17501-1343
(717) 859-1030
(717) 859-1098
Mailing address
127 NORTH 7TH ST, SUITE A, AKRON, PA 17501-1343
(717) 859-1030
(717) 859-1098

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
DC0007237-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007418487
AETNA
PA
01
01729101
CAPITAL BLUE CROSS
PA
01
1039440
ASHN
PA
01
1585039
HIGHMARK
PA
Enumeration date
07/12/2006
Last updated
07/08/2007
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