Provider Demographics
NPI:1629018676
Name:CRANE, DANIEL EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:EDWARD
Last Name:CRANE
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 1:8156 HAMILTON BLVD
Mailing Address - Street 2:PO BOX 247
Mailing Address - City:TREXLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18087-0247
Mailing Address - Country:US
Mailing Address - Phone:610-395-5828
Mailing Address - Fax:610-395-9018
Practice Address - Street 1:8156 HAMILTON BLVD
Practice Address - Street 2:
Practice Address - City:TREXLERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18087-0247
Practice Address - Country:US
Practice Address - Phone:610-395-5828
Practice Address - Fax:610-395-9018
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001305L111N00000X
NC1944111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA20015041Medicaid
PA00692970OtherHIGHMARK
PA0041159000OtherIBC KEYSTONE EAST
T72579Medicare UPIN
PA0041159000OtherIBC KEYSTONE EAST