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NPI Code Detail

MEDICARE: DAVID J. SHINGLES, D.O., P.C.

MEDICARE: DAVID J. SHINGLES, D.O., P.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
1261QH0100XHealth Service Clinic/CenterPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
301004144OTHERPARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
103157700OTHERPACAPITAL BLUE CROSS
21594997OTHERPAHIGHMARK BLUE SHIELD

General Provider Information

NPI Number : 1295894764
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID J. SHINGLES, D.O., P.C.
Provider Business Mailing Address
First Line : 1101 S CEDAR CREST BLVD
Second Line :
City : ALLENTOWN
State : PA
Zip : 18103-7902
Country : US
Telephone Number : 610-435-3111
Fax Number : 610-432-5953
Provider Business Practice Location Address
First Line : 1101 S CEDAR CREST BLVD
Second Line :
City : ALLENTOWN
State : PA
Zip : 18103-7902
Country : US
Telephone Number : 610-435-3111
Fax Number : 610-432-5953
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. DAVID J. SHINGLES
Credential : D.O.
Telephone Number : 610-435-3111
Provider Enumeration Date : 12/08/2006
Last Update Date : 07/31/2008

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1063500874 — WILLIAM R. BARNHURST D.O.
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18103-7902
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ALLENTOWN, PA
18103-7902
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1376736421 — CEDAR CREST PHYSICAL THERAPY
Practice Location Address:
1101 S CEDAR CREST BLVD
ALLENTOWN, PA
18103-7902
Practice Phone: 610-435-3111
Practice Fax: 610-432-5953

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