Provider Demographics
NPI:1396873139
Name:D'ACIERNO, DAYNA L (DC)
Entity type:Individual
Prefix:
First Name:DAYNA
Middle Name:L
Last Name:D'ACIERNO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11109 WRIGLEY MANSION DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-0059
Mailing Address - Country:US
Mailing Address - Phone:412-715-3637
Mailing Address - Fax:803-802-6638
Practice Address - Street 1:856 GOLD HILL RD STE 103
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-8900
Practice Address - Country:US
Practice Address - Phone:803-802-6637
Practice Address - Fax:803-802-6638
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-003834-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U07242Medicare UPIN
094067Medicare ID - Type Unspecified