Individual
DR. JEFFREY L SHUSMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6812 CASTOR AVE, PHILADELPHIA, PA 19149-2106
(215) 725-2225
(215) 725-2242
Mailing address
6812 CASTOR AVE, PHILADELPHIA, PA 19149-2106
(215) 725-2225
(215) 725-2242
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002968L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1621640
HIGHMARK
—
01
—
2303078000
IBC
—
Enumeration date
05/10/2006
Last updated
07/08/2007
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