National Provider Identifier Database

G L PAGENKOPF CO PA
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

G L PAGENKOPF CO PA
14603 RIDGE ROAD
WEST SPRINGFIELD, PA16443
Phone: 814-922-3800
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for G L PAGENKOPF CO PA

NPI Number 1073610432
Legal business name
LBN
G L PAGENKOPF CO PA
Authorized official GARY PAGENKOPF - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/20/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: DC002428L
  • OH Medicaid: 0492293
  • PA Medicaid: 0008625260001
  • PA Medicaid: 1500250
  • PA Medicaid: 153721
  • PA Other: 0662096 AETNA
  • PA Other: 4644065 AETNA
  • PA Other: 6667738 CIGNA
  • PA Other: 104767 HIGHMARK
  • PA Other: 714797 HIGHMARK
  • PA Other: 210837 UPMC

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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