Structural Disorders Of The Spine

LBN: Structural Disorders Of The Spine
Structural Disorders Of The Spine is an health care organization with primary practice located at 21 North 4Th Street , Harrisburg PA 17101. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Structural Disorders Of The Spine can be contacted via phone (717) 233-3476, or through Fullmer, Jason Michael via phone (717) 460-3422.

Contact Information

Primary practice address
21 North 4Th Street Harrisburg PA 17101
Phone: (717) 233-3476
Fax: (717) 796-2409
Website:
Map and Directions
Authorized official contact:
Name: Fullmer, Jason Michael Doctor of Chiropractic (DC)
Phone: (717) 460-3422

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 009494 Pennsylvania

Profile Details

NPI number 1902853070
LBN Legal business name Structural Disorders Of The Spine
DBA Doing business as
Authorized official Fullmer, Jason Michael Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1902853070 NPPES
Pennsylvania Other FU1813015 HIGHMARK
Pennsylvania Other 50058252 HIGHMARK

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