Individual
DR. JOSEPH DAVIE DIANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1056 GRANT ST, HAZLETON, PA 18202-1707
(570) 455-8141
Mailing address
1056 GRANT ST, HAZLETON, PA 18202-1707
(570) 455-8141
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002597L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001751156001
—
PA
01
—
104018
UNISON
PA
01
—
130905
BLUE CROSS BLUE SHIELD
PA
01
—
20044653
AMERIHEALTHMERCY
PA
01
—
2370482
AETNA
PA
01
—
765821
FIRST HEALTH
PA
01
—
805565
FIRST PIRIORITY
PA
Enumeration date
01/26/2007
Last updated
09/13/2011
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