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Dr. Bradley D Ennis, DC
Chiropractor in State College, Pennsylvania
NPI 1699886390

Bradley D Ennis is a Chiropractor based in State College, PA. Bradley D Ennis practices in State College, PA and has the professional credentials of DC. The NPI Number for Bradley D Ennis is 1699886390 and holds a License No. DC007593L (Pennsylvania).

The current practice location address for Bradley D Ennis is 1526 N Atherton St Ste 200, State College, PA and can be reached out via phone at 814-237-5220 and via fax at 412-291-3381.

Location: 1526 N Atherton St Ste 200, State College, PA, 16803-3041
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699886390
Provider Name
Bradley D Ennis
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1526 N Atherton St Ste 200, State College, PA, 16803-3041
Phone Number
814-237-5220
Fax Number
412-291-3381
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
347952 01 HIGHMARK BC/BS
03081900 01 CAPITAL BC/BS
institution
Provider Business Practice Location Address Details
Address
1526 N Atherton St Ste 200
City
State College
State
Pennsylvania
Zip
16803
Phone Number
814-237-5220
Fax Number
412-291-3381
person
Provider Business Mailing Address Details
Address
1526 N Atherton St Ste 200
City
State College
State
Pennsylvania
Zip
16803
Phone Number
814-237-5220
Fax Number
412-291-3381
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC007593L (Pennsylvania)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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