Individual
JOHN MANSFIELD CORNEAL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1526 MARTIN ST, STATE COLLEGE, PA 16803-3058
(814) 237-5559
(814) 237-4392
Mailing address
1526 MARTIN ST, STATE COLLEGE, PA 16803-3058
(814) 237-5559
(814) 237-4392
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002495L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008909230002
—
PA
01
—
C197006
BLUE CROSS
PA
Enumeration date
08/09/2006
Last updated
07/08/2007
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