Healthcare Provider Details

I. General information

NPI: 1104834290
Provider Name (Legal Business Name): DEAN E. BOYER, D.C., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 POINT TOWNSHIP DR
NORTHUMBERLAND PA
17857-8701
US

IV. Provider business mailing address

217 POINT TOWNSHIP DR
NORTHUMBERLAND PA
17857-8701
US

V. Phone/Fax

Practice location:
  • Phone: 570-473-3585
  • Fax: 570-473-7503
Mailing address:
  • Phone: 570-473-3585
  • Fax: 570-473-7503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC003824L
License Number StatePA

VIII. Authorized Official

Name: DR. DEAN EDWARD BOYER
Title or Position: PRESIDENT
Credential: D.C.
Phone: 570-473-3585