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Individual

DR. JACK ALLEN SCHULMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
8003 WEST CHESTER PIKE, UPPER DARBY, PA 19082
(610) 446-5777
Mailing address
8003 WEST CHESTER PIKE, UPPER DARBY, PA 19082
(610) 446-5777

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC001581L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0032850000
BLUE CROSS/BLUESHIELD
PA
01
085065
BLUE CROSS/BLUE SHIELD
PA
01
4540431
AETNA-PPO
PA
01
99945
AETNA-HMO
PA
Enumeration date
08/03/2006
Last updated
07/08/2007
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