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Individual

DR. DAN ALLEN WASNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
911 LOGAN BLVD, LIFETIME CHIROPRACTIC LLC, ALTOONA, PA 16602
(814) 946-4000
(814) 946-4777
Mailing address
911 LOGAN BOULEVARD, ALTOONA, PA 16602
(814) 946-4000
(814) 946-4777

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
PA008894
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001393376
BLUE CROSS PROVIDER #
PA
Enumeration date
10/17/2006
Last updated
05/27/2016
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