Organization
FAIRMAN FAMILY CHIROPRACTIC P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY GARRETT FAIRMAN DC (PRESIDENT)
(814) 267-6440
Entity
Organization
Contact information
Practice address
537 MAIN ST, BERLIN, PA 15530-1344
(814) 267-6440
(814) 267-6442
Mailing address
537 MAIN ST, BERLIN, PA 15530-1344
(814) 267-6440
(814) 267-6442
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009285
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1951171
HIGHMARK BC/BS
PA
Enumeration date
04/11/2007
Last updated
07/26/2007
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