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NPI Code Detail

MEDICARE: DR. EDWARD JACOB SEMELSBERGER III D.C.

MEDICARE: DR. EDWARD JACOB SEMELSBERGER III 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
1111N00000XChiropractorDC009346PA

General Provider Information

NPI Number : 1154309003
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD JACOB SEMELSBERGER III D.C.
Provider Business Mailing Address
First Line : 200 GLASS RD
Second Line :
City : EBENSBURG
State : PA
Zip : 15931-4717
Country : US
Telephone Number : 814-884-0264
Fax Number :
Provider Business Practice Location Address
First Line : 2519 BEDFORD ST
Second Line :
City : JOHNSTOWN
State : PA
Zip : 15904-1424
Country : US
Telephone Number : 814-266-3226
Fax Number : 814-262-0656
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2006
Last Update Date : 01/14/2008

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