Provider Demographics
NPI:1710039748
Name:LABATE, JOHN CARMELLO (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CARMELLO
Last Name:LABATE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:1125 S CEDAR CREST BLVD
Mailing Address - Street 2:STE 202
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-7903
Mailing Address - Country:US
Mailing Address - Phone:610-433-5141
Mailing Address - Fax:610-433-5172
Practice Address - Street 1:1125 S CEDAR CREST BLVD
Practice Address - Street 2:STE 202
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-7903
Practice Address - Country:US
Practice Address - Phone:610-433-5141
Practice Address - Fax:610-433-5172
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADC001781R111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0041125000OtherINDEPENDENCE BLUE CROSS
PA50000759OtherCAPITAL BLUE CROSS
PA027024OtherHGHMARK BLUE SHIELD
PAP3265997OtherOXFORD HEALTH CARE
PA0091486OtherAETNA HEALTH CARE
PA50000759OtherCAPITAL BLUE CROSS
PAP3265997OtherOXFORD HEALTH CARE