Organization
J. KOLLER, LLC
Active
Other names
Koller Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER CLARK (ADMINISTRATIVE ASST)
(717) 859-1250
Entity
Organization
Contact information
Practice address
16B S 7TH ST, AKRON, PA 17501-1331
(717) 859-1250
(717) 859-1299
Mailing address
16B S 7TH ST, AKRON, PA 17501-1331
(717) 859-1250
(717) 859-1299
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007237-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007418487
AETNA
—
01
—
01729101
CAPITAL BLUE CROSS
—
01
—
021538P55
MEDICARE
—
01
—
1039440
ASHN
—
01
—
115885
GEISINGER
—
01
—
1585039
HIGHMARK
—
Enumeration date
09/11/2007
Last updated
12/28/2011
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