Provider Demographics
NPI:1306050836
Name:DANIEL SCHATZBERG, D.C., P.C.
Entity type:Organization
Organization Name:DANIEL SCHATZBERG, D.C., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHATZBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-565-5720
Mailing Address - Street 1:116 E BALTIMORE PIKE
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-3809
Mailing Address - Country:US
Mailing Address - Phone:610-565-5720
Mailing Address - Fax:610-565-4699
Practice Address - Street 1:116 E BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-3809
Practice Address - Country:US
Practice Address - Phone:610-565-5720
Practice Address - Fax:610-565-4699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002536L111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016193780001Medicaid