Healthcare Provider Details

I. General information

NPI: 1497751069
Provider Name (Legal Business Name): DANIEL RAY GEARY DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 01/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 LOUCKS AVE
SCOTTDALE PA
15683-1523
US

IV. Provider business mailing address

603 LOUCKS AVE
SCOTTDALE PA
15683-1523
US

V. Phone/Fax

Practice location:
  • Phone: 724-887-7360
  • Fax: 724-887-0533
Mailing address:
  • Phone: 724-887-7360
  • Fax: 724-887-0533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC003576L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: