Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC004466L | PA |
N | 111NR0400X | Rehabilitation Chiropractor | DC004466L | PA |
N | 111NS0005X | Chiropractic Sports Physician | DC004466L | PA |
NPI | 1053499335 |
---|---|
Provider Name | Dr. David M Watto |
First Address | Mt Pleasant Mills, PA 17853-8752 |
Second Address | Mt Pleasant Mills, PA 17853-8752 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 27/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U10145 | (02) | PA |