Provider Demographics
NPI:1497751069
Name:GEARY, DANIEL RAY (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:RAY
Last Name:GEARY
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 1:603 LOUCKS AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15683-1523
Mailing Address - Country:US
Mailing Address - Phone:724-887-7360
Mailing Address - Fax:724-887-0533
Practice Address - Street 1:603 LOUCKS AVE
Practice Address - Street 2:
Practice Address - City:SCOTTDALE
Practice Address - State:PA
Practice Address - Zip Code:15683-1523
Practice Address - Country:US
Practice Address - Phone:724-887-7360
Practice Address - Fax:724-887-0533
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003576L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA350029227OtherPALMETTO GBA RAILROAD
PA000600620OtherHIGHMARK
PA0011084840001Medicaid
PA216540OtherUPMC
PA4921880001OtherCIGNA
PA1018619OtherGATEWAY
PA64839OtherTHREE RIVERS MED PLUS
PA4587634OtherAETNA PPO
PA831135OtherAETNA HMO
PA1189062OtherUNITED HEALTHCARE
PAU01494Medicare UPIN
PA4587634OtherAETNA PPO