Provider Demographics
NPI:1144295601
Name:KOVAL, DANIEL S (DC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:S
Last Name:KOVAL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-9731
Mailing Address - Country:US
Mailing Address - Phone:717-367-0844
Mailing Address - Fax:
Practice Address - Street 1:475 W GOVERNOR RD
Practice Address - Street 2:SUITE 3
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2217
Practice Address - Country:US
Practice Address - Phone:717-533-0881
Practice Address - Fax:717-533-2155
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005406L111N00000X
PAAJ005406L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAKO27497OtherHIGHMARK
PA358450OtherHIGHMARK GROUP
PA4468061OtherAETNA
PA2319624OtherAETNA HMO
PAKO27497OtherHIGHMARK
PA2319624OtherAETNA HMO
PA027497Medicare ID - Type UnspecifiedMEDICARE