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Dr. Jon Mark Ketcham, DC
Chiropractor in Meadville, Pennsylvania
NPI 1902884661

Jon Mark Ketcham is a Chiropractor based in Meadville, PA. Jon Mark Ketcham practices in Meadville, PA and has the professional credentials of DC. The NPI Number for Jon Mark Ketcham is 1902884661 and holds a License No. DC006808L (Pennsylvania).

The current practice location address for Jon Mark Ketcham is 765 Park Ave, Meadville, PA and can be reached out via phone at 814-337-0128 and via fax at 814-337-0164.

Location: 765 Park Ave, Meadville, PA, 16335-2546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902884661
Provider Name
Jon Mark Ketcham
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
765 Park Ave, Meadville, PA, 16335-2546
Phone Number
814-337-0128
Fax Number
814-337-0164
Provider Enumeration Date
01/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
163160 01 PA HIGHMARK MEDICARE SREVICES
205078 01 PA UPMC
KE596806 01 PA BLUE CROSS / BLUE SHIELD
001616400 0006 05 PA
institution
Provider Business Practice Location Address Details
Address
765 Park Ave
City
Meadville
State
Pennsylvania
Zip
16335-2546
Phone Number
814-337-0128
Fax Number
814-337-0164
person
Provider Business Mailing Address Details
Address
765 Park Ave
City
Meadville
State
Pennsylvania
Zip
16335-2546
Phone Number
814-337-0128
Fax Number
814-337-0164
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC006808L (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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