Individual
DR. DALE NEIDERHISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
224 MAIN ST, BENTON, PA 17814-0124
(570) 925-6606
(570) 925-0285
Mailing address
PO BOX 124, BENTON, PA 17814-0124
(570) 925-6606
(570) 925-0285
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC001573L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006929360002
—
PA
Enumeration date
08/17/2005
Last updated
07/08/2007
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