Doctor Name: | DR. DANIEL GAVIO |
NPI Number: | 1689873473 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | DC009818 |
Business Practice Address: | 50 Moisey Drive Suite 206 Hazleton, PA - 18202 |
Business Phone Number: | 5705016700 |
Business Fax Number: | 5705013358 |
Mailing Address: | Po Box 1347, KINGSTON |
State: | PA |
Postal Code: | 187040347 |
Phone Number: | 5702888881 |
Fax Number: | 5702888065 |
NPI Enumeration Date: | 07/12/2007 |
NPI Last Update Date: | 03/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC009818 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |