Healthcare Provider Details
I. General information
NPI: 1679540975
Provider Name (Legal Business Name): WILLIAM DAVID AUKERMAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
424 FRYE FARM RD
GREENSBURG PA
15601-6480
US
IV. Provider business mailing address
424 FRYE FARM RD
GREENSBURG PA
15601-6480
US
V. Phone/Fax
- Phone: 724-537-2600
- Fax: 724-537-6530
- Phone: 724-537-2600
- Fax: 724-537-6530
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NX0800X |
| Taxonomy | Orthopedic Chiropractor |
| License Number | 002483 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: