Jenifer L. Dewald, Dc Pc

LBN: Jenifer L. Dewald, Dc Pc
Jenifer L. Dewald, Dc Pc is an health care organization with primary practice located at 1355 Four Mile Dr , Williamsport PA 17701-1932. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Jenifer L. Dewald, Dc Pc can be contacted via phone (570) 322-1776, or through Dewald, Jenifer Lynn via phone (570) 322-1776.

Contact Information

Primary practice address
1355 Four Mile Dr Williamsport PA 17701-1932
Phone: (570) 322-1776
Fax: (570) 322-1774
Website:
Map and Directions
Authorized official contact:
Name: Dewald, Jenifer Lynn Doctor of Osteopathy (DO)
Phone: (570) 322-1776

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1669403804
LBN Legal business name Jenifer L. Dewald, Dc Pc
DBA Doing business as
Authorized official Dewald, Jenifer Lynn Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 25th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669403804 NPPES
Pennsylvania MEDICAID 0017404480002

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