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Contact Information

G L PAGENKOPF CO PA
14603 RIDGE ROAD
WEST SPRINGFIELD, PA16443
 Phone: 814-922-3800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for G L PAGENKOPF CO PA

NPI Number 1073610432
LBN Legal business name G L PAGENKOPF CO PA
Authorized official GARY PAGENKOPF - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 08/22/2020 - About 6 years ago
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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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