Individual
DAVID L GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7256 RISING SUN AVE, PHILADELPHIA, PA 19111-3948
(215) 725-3979
(215) 725-5146
Mailing address
7256 RISING SUN AVE, PHILADELPHIA, PA 19111-3948
(215) 725-3979
(215) 725-5146
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007666L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0777297000
PERSONAL CHOICE
PA
05
—
1954945
—
PA
01
—
34424
HEALTH PARTNERS
PA
01
—
3503293
AETNA
PA
01
—
853138
BLUE CROSS BLUE SHIELD
PA
Enumeration date
05/23/2006
Last updated
11/18/2016
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