Provider Demographics
NPI:1760415822
Name:GERHART FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:GERHART FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:GERHART
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:717-761-2273
Mailing Address - Street 1:303 S 32ND ST
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-5104
Mailing Address - Country:US
Mailing Address - Phone:717-761-2273
Mailing Address - Fax:717-763-0610
Practice Address - Street 1:303 S 32ND ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-5104
Practice Address - Country:US
Practice Address - Phone:717-761-2273
Practice Address - Fax:717-763-0610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004945L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3025102OtherINDEPENDENCE BLUE CROSS
PA0129719OtherASHN
PA411084OtherHEALTHAMERICA
PAGE113763OtherHIGHMARK BLUE SHIELD
PA9331545OtherCIGNA
PAA13763OtherAMERIHEALTH
PA03139200OtherCAPITAL BLUECROSS
PA3000133OtherKEYSTONE
PA3689630OtherAETNA HMO
PA5719296OtherAETNA PPO
PA03139200OtherCAPITAL BLUECROSS
PA=========OtherTIN
PA3689630OtherAETNA HMO