MEDICARE: DANIEL T WEST DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NR0400X	Rehabilitation Chiropractor	DC-0038100	PA

General Provider Information

NPI Number	:	1881728707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL T WEST DC

Provider Business Mailing Address
First Line	:	4607 DIVISION HWY
Second Line	:
City	:	EAST EARL
State	:	PA
Zip	:	17519-9245
Country	:	US
Telephone Number	:	717-354-2332
Fax Number	:	717-355-5253

Provider Business Practice Location Address
First Line	:	4607 DIVISION HWY
Second Line	:
City	:	EAST EARL
State	:	PA
Zip	:	17519-9245
Country	:	US
Telephone Number	:	717-354-2332
Fax Number	:	717-355-5253

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	11/09/2007

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Directions to “ DANIEL T WEST DC” Practice Location

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