Provider Demographics
NPI:1942210448
Name:MCCANN, DANIEL J (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:MCCANN
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 1:241 YORK RD
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-3157
Mailing Address - Country:US
Mailing Address - Phone:717-258-5834
Mailing Address - Fax:717-258-4771
Practice Address - Street 1:5 BROOKWOOD AVE
Practice Address - Street 2:STE 3
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015
Practice Address - Country:US
Practice Address - Phone:717-258-5834
Practice Address - Fax:717-258-4771
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004950L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01475590Medicaid
421263OtherBLUE SHIELD
GA350040952OtherRAILROAD MEDICARE
U37563Medicare UPIN