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NPI Code Detail

MEDICARE: DR. HENRY WILLIAM BILDER D.C.

MEDICARE: DR. HENRY WILLIAM BILDER D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC009275PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1819755OTHERPAFIRST PRIORITY
2BI1689534OTHERPABLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1134256373
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HENRY WILLIAM BILDER D.C.
Provider Business Mailing Address
First Line : 16 LUZERNE AVE
Second Line : SUITE 160
City : WEST PITTSTON
State : PA
Zip : 18643-2817
Country : US
Telephone Number : 570-655-8400
Fax Number : 570-655-8420
Provider Business Practice Location Address
First Line : 16 LUZERNE AVE
Second Line : SUITE 160
City : WEST PITTSTON
State : PA
Zip : 18643-2817
Country : US
Telephone Number : 570-655-8400
Fax Number : 570-655-8420
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 07/09/2007

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