Provider Demographics
NPI:1790730224
Name:DAVID J. MURAWSKI
Entity Type:Organization
Organization Name:DAVID J. MURAWSKI
Other - Org Name:CORNER CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MURAWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:570-992-2377
Mailing Address - Street 1:PO BOX 26
Mailing Address - Street 2:2232 ROUTE 115
Mailing Address - City:BRODHEADSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18322-0026
Mailing Address - Country:US
Mailing Address - Phone:570-992-2377
Mailing Address - Fax:570-992-2173
Practice Address - Street 1:2232 ROUTE 115
Practice Address - Street 2:
Practice Address - City:BRODHEADSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18322-0026
Practice Address - Country:US
Practice Address - Phone:570-992-2377
Practice Address - Fax:570-992-2173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAV09248Medicare UPIN