MEDICARE: DR. MICHAEL GORDON APPLEBY 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	DC001664L	PA
2	111NS0005X	Sports Physician Chiropractor	DC001664L	PA
3	111NX0100X	Occupational Health Chiropractor	DC001664L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	A05951	OTHER	IA	STATE LICENSE INACTIVE
3	DC001664L	OTHER	PA	STATE LICENSE

General Provider Information

NPI Number	:	1346332871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL GORDON APPLEBY D.C.

Provider Business Mailing Address
First Line	:	2545 WALNUT ST
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17103-1769
Country	:	US
Telephone Number	:	717-236-5292
Fax Number	:	717-236-5292

Provider Business Practice Location Address
First Line	:	2545 WALNUT ST
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17103-1769
Country	:	US
Telephone Number	:	717-236-5292
Fax Number	:	717-236-5292

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

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	09/11/2025

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