Provider Demographics
NPI:1902942741
Name:DINCHER, GERALD M (DC)
Entity Type:Individual
Prefix:MR
First Name:GERALD
Middle Name:M
Last Name:DINCHER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2704 MARKET STREET
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-4531
Mailing Address - Country:US
Mailing Address - Phone:717-737-1681
Mailing Address - Fax:717-731-1648
Practice Address - Street 1:2704 MARKET STREET
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4531
Practice Address - Country:US
Practice Address - Phone:717-737-1681
Practice Address - Fax:717-731-1648
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA002730L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
01580501OtherBLUE CROSS PROV HERD
2512654OtherAETNA DINCHER
2512654OtherAETNA HERD
706271OtherBLUE SHIELD PROV #
2512627OtherAETNA CLINIC
004479LOtherLICENSE CARVER
01591101OtherBLUE CROSS PROV DINCHER
2512613OtherAETNA CARVER
BSPBU5R84005OtherELECTRONIC BILLING
001119LOtherLICENSE HERD
002730LOtherLICENSE DINCHER
02012401OtherBLUE CROSS PROV CARVER
02561600OtherBLUE CROSS PROV #
U12484Medicare UPIN
706271OtherBLUE SHIELD PROV #
2512613OtherAETNA CARVER
010101Medicare ID - Type UnspecifiedCHRONIC
02012401OtherBLUE CROSS PROV CARVER
T29080Medicare UPIN