Pagenkopf, Gary Lee
Pagenkopf, Gary Lee is an sole proprietor health care provider with primary practice located at 14603 Ridge Rd , West Springfield PA 16443-1631. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Pagenkopf, Gary Lee can be contacted via phone (814) 922-3800.Contact Information
Primary practice address
14603 Ridge Rd
West Springfield PA 16443-1631
Phone: (814) 922-3800
Fax: (814) 922-7706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC-002428-L | Pennsylvania |
Profile Details
| NPI number | 1477547644 |
|---|---|
| LBN Legal business name | Pagenkopf, Gary Lee |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477547644 | NPPES |
| Pennsylvania | Other | 6667738 | CIGNA |
| Pennsylvania | Other | 0662096 | CIGNA |
| Pennsylvania | MEDICAID | 153721 | CIGNA |
| Pennsylvania | MEDICAID | 1500250 | CIGNA |
| Pennsylvania | Other | 232382179-00 | CIGNA |
| Pennsylvania | Other | 4644065 | CIGNA |
| Pennsylvania | Other | 714767 | CIGNA |
| Pennsylvania | MEDICAID | 0008625260001 | CIGNA |
| Pennsylvania | MEDICAID | 0492293 | CIGNA |
| Pennsylvania | Other | 104767 | CIGNA |
| Pennsylvania | Other | 210837 | CIGNA |
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