Provider Demographics
NPI:1558551960
Name:METZ, DERRIK MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:DERRIK
Middle Name:MICHAEL
Last Name:METZ
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 1:11416 WILLIAMSPORT PIKE
Mailing Address - Street 2:
Mailing Address - City:GREENCASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:17225-8465
Mailing Address - Country:US
Mailing Address - Phone:717-597-0028
Mailing Address - Fax:717-597-0033
Practice Address - Street 1:11416 WILLIAMSPORT PIKE
Practice Address - Street 2:
Practice Address - City:GREENCASTLE
Practice Address - State:PA
Practice Address - Zip Code:17225-8465
Practice Address - Country:US
Practice Address - Phone:717-597-0028
Practice Address - Fax:717-597-0033
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009824111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor