Provider Demographics
NPI:1548314842
Name:HUMMEL, DANIEL WESLEY III (DC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:WESLEY
Last Name:HUMMEL
Suffix:III
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 1:247 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17044-1712
Mailing Address - Country:US
Mailing Address - Phone:717-248-2506
Mailing Address - Fax:717-248-1704
Practice Address - Street 1:247 E 3RD ST
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044-1712
Practice Address - Country:US
Practice Address - Phone:717-248-2506
Practice Address - Fax:717-248-1704
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001594L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00259361OtherPALMETTO RAILROAD
PA0636454Medicaid
PA0636454Medicaid
PAP00259361OtherPALMETTO RAILROAD