Healthcare Provider Details

I. General information

NPI: 1932200375
Provider Name (Legal Business Name): JOHN DANIEL HUFFMAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 03/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 E 38TH ST
ERIE PA
16510-3607
US

IV. Provider business mailing address

2030 E 38TH ST
ERIE PA
16510-3607
US

V. Phone/Fax

Practice location:
  • Phone: 814-825-2129
  • Fax: 814-825-3134
Mailing address:
  • Phone: 814-825-2129
  • Fax: 814-825-3134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC009968
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberOH3663
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: