BLAKE KEITH STAKER (NPI# 1790791580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790791580 |
| Entity Type | Individual |
| Full Name | BLAKE KEITH STAKER |
| Credential | D.C. |
| Practice Address |
46 South 18th Street Columbia PA 17512 |
| Mailing Address |
1205 Union Street Lancaster PA 17603 |
| Practice Telephone | 7176810198 |
| Mailing Telephone | 5633407872 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC009656 | PA | Chiropractic Providers |
| Street Address |
46 SOUTH 18TH STREET |
| City | COLUMBIA |
| State | PA |
| Zip Code | 17512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912405515 | Alyssa Carter | Counselor | 610 Poplar Street, Columbia, PA 17512 | 2018-01-29 |
| 1598943276 | Tw Ponessa and Associates Counseling Services Inc | Community/Behavioral Health | 200 North Fifth Street, Columbia, PA 17512 | 2008-02-05 |
| 1821275140 | T W Ponessa and Associates Counseling Services Inc | Community/Behavioral Health | 50 South Sixth Street, Columbia, PA 17512 | 2008-01-29 |
| 1447431382 | David H Landis | Chiropractor | 547 Locust St, Columbia, PA 17512 | 2007-11-20 |
| 1902940976 | Drug and Alcohol Rehabiliation Services, Inc. | Clinic/Center | 1290 Prospect Road, Columbia, PA 17512 | 2007-02-16 |
| 1942266630 | William Brian Kraft | Chiropractor | 501 S 9th St, Columbia, PA 17512 | 2006-04-22 |
| 1063954501 | Kelsey Czekai | Family Medicine | 369 Locust Street, First Floor, Columbia, PA 17512 | 2016-11-15 |
| 1982009981 | 4urx | Pharmacy | 960 Lancaster Ave, Ste 2 Rear, Columbia, PA 17512 | 2014-11-03 |
| 1194994830 | Landis Family Chiropractic | Chiropractor | 547 Locust St, Columbia, PA 17512 | 2008-02-27 |
| 1053312405 | Betty L Urey | Pharmacy Technician | 251 Locust St, Columbia, PA 17512-1110 | 2005-08-09 |
| Find all providers in zip 17512 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306470281 | Palmercare Chiropractic Columbia Inc | Chiropractor | 6851 Oak Hall Ln Ste 301, Columbia, MD 21045-5846 | 2020-02-28 |
| 1639700909 | Kylar Sue Mccann | Chiropractor | 4200 Merchant St Ste 105, Columbia, MO 65203-5816 | 2020-01-27 |
| 1447880331 | Alisha Squires | Chiropractor | 2024 Cherry Hill Dr Ste 101, Columbia, MO 65203-5921 | 2020-01-20 |
| 1205476108 | William H. Northern | Chiropractor | 1005 South Main St., Suite A, Columbia, IL 62236-9998 | 2020-01-09 |
| 1285276857 | Unity Chiropractic LLC | Chiropractor | 110 Office Park Dr, Columbia, KY 42728-1380 | 2019-10-15 |
| 1871056846 | John Terrier | Chiropractor | 10630 Little Patuxent Pkwy Ste 329, Columbia, MD 21044-3204 | 2019-04-08 |
| 1417410549 | Matthew Hux | Chiropractor | 1221 Bower Pkwy Ste 108, Columbia, SC 29212-3734 | 2019-04-06 |
| 1841764057 | Nourishing Life Wellness, LLC | Chiropractor | 7300 Grace Dr # 1a, Columbia, MD 21044-2473 | 2019-01-22 |
| 1790259158 | Raquel Heisse | Chiropractor | 1997 Waterfront Dr N Apt E, Columbia, MO 65202-8953 | 2019-01-17 |
| 1548732449 | Midlands Family Chiropractic, LLC | Chiropractor | 6030 Saint Andrews Rd Ste M, Columbia, SC 29212-3164 | 2018-12-18 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.