Individual
PAUL J HERBENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
112 RIVER ST, TUNKHANNOCK, PA 18657-1799
(570) 836-5305
(570) 836-6564
Mailing address
12 ELIZABETH DR, TUNKHANNOCK, PA 18657-5511
(570) 836-0732
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC006129L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015583990002
—
PA
01
—
5404709
AETNA
PA
01
—
814278
FIRST PRIORITY HEALTH
PA
Enumeration date
06/16/2006
Last updated
07/08/2007
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