Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC007371L | PA |
NPI | 1003844689 |
---|---|
Provider Name | Dr. Raymond Clinton Doklan |
First Address | Whitehall, PA 18052-3744 |
Second Address | Allentown, PA 18103-6372 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1037855 | AMERICAN SPECIALITY HEALT (01) | PA |
50044085 | CAPITAL BLUE CROSS (01) | PA |
7484644 | AETNA (01) | PA |
757153 | INDEPENDENT BLUE CROSS (01) | PA |
DO757153 | HIGHMARK BLUE SHIELD (01) | PA |
U88078 | (02) | PA |