Provider Demographics
NPI:1902822646
Name:GERHART, DAVID WILLIAM JR (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WILLIAM
Last Name:GERHART
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004945L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA03139200OtherCAPITAL BLUECROSS
PA5719296OtherAETNA PPO
PAA13763OtherAMERIHEALTH
PAGE113763OtherHIGHMARK BLUE SHIELD
PA3025102OtherINDEPENDENCE BLUE CROSS
PA350038880OtherRAILROAD MEDICARE
PA3000133OtherKEYSTONE
PA3689630OtherAETNA HMO
PA0129719OtherASHN
PA411084OtherHEALTHAMERICA
PA9331545OtherCIGNA
PA9331545OtherCIGNA
PA5719296OtherAETNA PPO
PA9331545OtherCIGNA