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Contact Information

AWAKEN OPTIMAL HEALTH LLC
503 SUNSET DRIVE
DICKSON CITY, PA18447-1323
 Phone: 570-489-4444
 Fax: 570-489-3333
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for AWAKEN OPTIMAL HEALTH LLC · (Female)

NPI Number 1598254492
Status Active
Credentials
Entity Individual
Enumeration date 05/07/2018
Last updated 05/07/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # DC-006471-L
  • PA Other 5755131 AETNA
  • PA Other SM833642 MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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