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NPI Code Detail

MEDICARE: MICHAEL NOLL DC

MEDICARE:   MICHAEL  NOLL  DC
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
1111N00000XChiropractorDC003868LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1605575OTHERPABLUE SHIELD
250001131OTHERPACAPITAL BLUE CROSS

General Provider Information

NPI Number : 1750475208
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL NOLL DC
Provider Business Mailing Address
First Line : 1931 PHILADELPHIA AVE
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17201-1435
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1931 PHILADELPHIA AVE
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17201-1435
Country : US
Telephone Number : 717-267-1800
Fax Number : 717-267-2990
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 07/08/2007

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Directions to “ MICHAEL NOLL DC” Practice Location

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