Healthcare Provider Details

I. General information

NPI: 1114913399
Provider Name (Legal Business Name): DEAN E. BOYER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 07/08/2007
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:
Title or Position:
Credential:
Phone: