Individual
MR. JACK D HERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2704 MARKET STREET, CAMP HILL, PA 17011-4531
(717) 737-1681
(717) 731-1648
Mailing address
2704 MARKET STREET, CAMP HILL, PA 17011-4531
(717) 737-1681
(717) 731-1648
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001119L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001119L
LICENSE NUMBERS HERD
—
01
—
1438356001
CIGNA PROV #S HERD
—
01
—
1704734001
CIGNA PROV #S CARVER
—
01
—
2512627
AETNA PROV #S CLINIC
—
01
—
5751845001
CIGNA PROV #S DINCHER
—
01
—
BSPBU5R84005
ELECTRONIC BILLING
—
01
—
CALORAD
ASHLINK
—
01
—
JH018019
ASHLINK
—
01
—
MEDICAREPRJ15T8001
ELECTRONIC BILLING
—
Enumeration date
01/29/2007
Last updated
07/09/2007
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