Healthcare Provider Details

I. General information

NPI: 1033199013
Provider Name (Legal Business Name): DANIEL J AGONA DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 09/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 LINCOLN WAY
WHITE OAK PA
15131
US

IV. Provider business mailing address

1802 LINCOLN WAY
WHITE OAK PA
15131
US

V. Phone/Fax

Practice location:
  • Phone: 412-678-3844
  • Fax: 412-346-0203
Mailing address:
  • Phone: 412-678-3844
  • Fax: 412-346-0203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC006465L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: