MEDICARE: DR. JENNIFER JUSTINE BEALER 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
1	111N00000X	Chiropractor	DC009161	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	076809UWA	OTHER	PA	MEDICARE PROVIDER #
9	076809RXF	OTHER	PA	MEDICARE PROVIDER #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1064067	OTHER	PA	AMERICAN SPECIALTY HEALTH
2	2620475000	OTHER	PA	PERSONAL CHOICE
3	7097799	OTHER	PA	AETNA PPO GROUP #
4	50057698	OTHER	PA	CAPITAL BC PROVIDER ID
5	7694759	OTHER	PA	AETNA PPO PROVIDER #
6	BE1783140	OTHER	PA	HIGHMARK
8	50057700	OTHER	PA	CAPITAL BC GROUP ID
10	1107802	OTHER	PA	AETNA HMO #

General Provider Information

NPI Number	:	1033192364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER JUSTINE BEALER D.C.

Provider Business Mailing Address
First Line	:	7842 BOYERTOWN PIKE
Second Line	:
City	:	BOYERTOWN
State	:	PA
Zip	:	19512-8109
Country	:	US
Telephone Number	:	610-689-3700
Fax Number	:	610-689-4467

Provider Business Practice Location Address
First Line	:	7842 BOYERTOWN PIKE
Second Line	:
City	:	BOYERTOWN
State	:	PA
Zip	:	19512-8109
Country	:	US
Telephone Number	:	610-689-3700
Fax Number	:	610-689-4467

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2005
Last Update Date	:	08/05/2011

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