Healthcare Provider Details

I. General information

NPI: 1790730224
Provider Name (Legal Business Name): DAVID J. MURAWSKI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 02/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2232 ROUTE 115
BRODHEADSVILLE PA
18322-0026
US

IV. Provider business mailing address

PO BOX 26 2232 ROUTE 115
BRODHEADSVILLE PA
18322-0026
US

V. Phone/Fax

Practice location:
  • Phone: 570-992-2377
  • Fax: 570-992-2173
Mailing address:
  • Phone: 570-992-2377
  • Fax: 570-992-2173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID JOHN MURAWSKI
Title or Position: OWNER
Credential: D.C.
Phone: 570-992-2377