Provider Demographics
NPI:1598764169
Name:FILIPKOWSKI, DANIEL EDWARD (DC, CSCS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:EDWARD
Last Name:FILIPKOWSKI
Suffix:
Gender:M
Credentials:DC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 EAST BROWN STREET
Mailing Address - Street 2:SUITE 114
Mailing Address - City:EAST STOUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301
Mailing Address - Country:US
Mailing Address - Phone:570-421-8876
Mailing Address - Fax:570-421-8926
Practice Address - Street 1:175 EAST BROWN STREET
Practice Address - Street 2:SUITE 114
Practice Address - City:EAST STOUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301
Practice Address - Country:US
Practice Address - Phone:570-421-8876
Practice Address - Fax:570-421-8926
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007427L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA814647OtherFIRST PRIORITY
PA0017309890001Medicaid
PA7078008OtherAETNA
PA814647OtherFIRST PRIORITY
PA7078008OtherAETNA