Provider Demographics
NPI:1235133174
Name:VALERIO, DAVID J JR (DC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:VALERIO
Suffix:JR
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 1:214 1/2 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-1827
Mailing Address - Country:US
Mailing Address - Phone:723-523-2231
Mailing Address - Fax:724-523-6352
Practice Address - Street 1:214 1/2 N 1ST ST
Practice Address - Street 2:
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-1827
Practice Address - Country:US
Practice Address - Phone:723-523-2231
Practice Address - Fax:724-523-6352
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-09
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002453L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA088732Medicare ID - Type UnspecifiedMEDICARE ID NUMBER