Individual
DR. DANIEL JACK MOSCHILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
192 N BUHL FARM DR, HERMITAGE, PA 16148-1773
(724) 347-5125
(724) 923-3015
Mailing address
192 N BUHL FARM DR, HERMITAGE, PA 16148-1773
(724) 347-5125
(724) 347-5140
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008726
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001469238
PA BLUE CROSS/BLUE SHIELD
PA
01
—
001469951
MEDICAL MUTUAL OF OHIO
PA
05
—
001953053
—
PA
05
—
0019530530001
—
PA
01
—
1041072
CIGNA/HEALTH AMERICA
PA
01
—
3551313
AETNA
PA
01
—
52-2375090
PA WORK COMP
PA
01
—
522375090
HEALTH ASSURANCE
PA
Enumeration date
07/29/2005
Last updated
05/02/2018
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