Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC006235L | PA |
N | 111NX0100X | Occupational Health | DC006235L | PA |
NPI | 1225034523 |
---|---|
Provider Name | James Adam Kliamovich II |
First Address | Sweet Valley, PA 18656-0334 |
Second Address | Sweet Valley, PA 18656-0334 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 04/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0015407230003 | (05) | PA |
0814753000 | INDEPENDENCE BLUE CROSS (01) | PA |
1007640 | ASHN (01) | PA |
118377 | UNISON HEALTH PLAN (01) | PA |
20039719 | AMERIHEALTH MERCY (01) | PA |
2194938 | FIRST HEALTH (01) | PA |
2298072 | AETNA HMO ID (01) | PA |
2983739 | CIGNA HEALTHCARE (01) | PA |
339411 | ADVANTRA FREEDOM (01) | PA |
339411 | HEALTH AMERICA (01) | PA |
350052217 | RAILROAD MEDICARE (01) | PA |
350052217 | RAILROAD MEDICARE NO. (01) | PA |
45223 | GEISINGER HEALTH PLAN (01) | PA |
5622279 | AETNA PPO ID (01) | PA |
611305800 | US DEPT. OF LABOR (01) | PA |
789959 | FIRST PRIORITY LIFE INS (01) | PA |
789959 | HIGHMARK BC/BS (01) | PA |
825782 | FIRST PRIORITY HEALTH (01) | PA |
U57016 | (02) | PA |