Provider Demographics
NPI:1376582825
Name:GEHMAN, DONALD (DC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:
Last Name:GEHMAN
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 1:39 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:HATFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19440-2553
Mailing Address - Country:US
Mailing Address - Phone:215-362-5949
Mailing Address - Fax:215-362-1849
Practice Address - Street 1:39 MARKET ST
Practice Address - Street 2:
Practice Address - City:HATFIELD
Practice Address - State:PA
Practice Address - Zip Code:19440-2553
Practice Address - Country:US
Practice Address - Phone:215-362-5949
Practice Address - Fax:215-362-1849
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002382L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0048481000OtherINDEPENDENCE BLUE CROSS
PA126099Medicare ID - Type Unspecified
PAT72542Medicare UPIN