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Individual

ELLEN S JACKSON STROBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
7870 W RIDGE RD, SUITE 3, FAIRVIEW, PA 16415-1808
(814) 474-3446
(814) 474-2535
Mailing address
PO BOX 914, 7870 WEST RIDGE RD, STE 3, FAIRVIEW, PA 16415-0914
(814) 474-3446
(814) 474-2535

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007701L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0013447766
HIGHMARK BLUE CROSS BLUE
PA
Enumeration date
07/29/2005
Last updated
05/01/2024
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