Provider Demographics
NPI:1275649303
Name:GETZ, DONALD EUGENE (DC)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:EUGENE
Last Name:GETZ
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 1:61 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:PA
Mailing Address - Zip Code:18612-1104
Mailing Address - Country:US
Mailing Address - Phone:570-675-3158
Mailing Address - Fax:
Practice Address - Street 1:61 CHURCH ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:PA
Practice Address - Zip Code:18612-1104
Practice Address - Country:US
Practice Address - Phone:570-675-3158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC000997L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA115763Medicare ID - Type Unspecified