Provider Demographics
NPI:1780731158
Name:SCHATZBERG, DANIEL (DC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:SCHATZBERG
Suffix:
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 1:116 E BALTIMORE PIKE
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-3809
Mailing Address - Country:US
Mailing Address - Phone:610-565-5720
Mailing Address - Fax:
Practice Address - Street 1:116 E BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-3809
Practice Address - Country:US
Practice Address - Phone:610-565-5720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002536L111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1370674OtherBLUE SHIELD
PA1370674OtherBLUE CROSS
PA0032898000OtherPERSONAL CHOICE
PA1032216OtherKEYSTONE MERCY
PA4559493OtherAETNA
PA0032898000OtherKEYSTONE HEALTH EAST
PA197300QN4Medicare PIN
PA4559493OtherAETNA