Provider Demographics
NPI:1144301284
Name:FURLONG, DAVID VAUGHN (DC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:VAUGHN
Last Name:FURLONG
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 1:631B NATIONAL PIKE EAST
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15417-9603
Mailing Address - Country:US
Mailing Address - Phone:724-785-5521
Mailing Address - Fax:724-785-6133
Practice Address - Street 1:631B NATIONAL PIKE E
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15417-9603
Practice Address - Country:US
Practice Address - Phone:724-785-5521
Practice Address - Fax:724-785-6133
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005564L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA89715OtherUNISON HEALTH PLAN
PA409545OtherHEALTH AMERICA/ASSURANCE
PA308144OtherUPMC HEALTH PLAN
PA1348088OtherHIGHMARK
5735661OtherAETNA
PA0016868710001Medicaid
PA264631OtherHIGHMARK
PA89715OtherUNISON HEALTH PLAN
FU007367Medicare ID - Type Unspecified