Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC-008956 | PA |
N | 111NX0100X | Occupational Health | AJ-008808 | PA |
NPI | 1740250349 |
---|---|
Provider Name | Dr. Joseph Patrick Brady JR. |
First Address | Chambersburg, PA 17201-2923 |
Second Address | Chambersburg, PA 17201-2923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 08/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BR1446588 | HIGHMARK BLUE SHIELD (01) | PA |
U89338 | (02) | PA |