Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC002536L | PA |
NPI | 1780731158 |
---|---|
Provider Name | Daniel Schatzberg |
First Address | Media, PA 19063-3809 |
Second Address | Media, PA 19063-3809 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2007 |
Last Update Date | 28/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0032898000 | KEYSTONE HEALTH EAST (01) | PA |
0032898000 | PERSONAL CHOICE (01) | PA |
1032216 | KEYSTONE MERCY (01) | PA |
1370674 | BLUE CROSS (01) | PA |
1370674 | BLUE SHIELD (01) | PA |
4559493 | AETNA (01) | PA |
X74003 | (02) | PA |