Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DANIEL J CHURCH
Active
Individual
DANIEL J CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA054295
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA054295
MEDICAL LICENSE
PA
Enumeration date
04/01/2010
Last updated
06/26/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers