Provider Demographics
NPI:1174733307
Name:DR. DANIEL GIAMMO DC PA
Entity type:Organization
Organization Name:DR. DANIEL GIAMMO DC PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:GIAMMO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:865-609-3330
Mailing Address - Street 1:11653 CHAPMAN HWY
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:TN
Mailing Address - Zip Code:37865-5099
Mailing Address - Country:US
Mailing Address - Phone:865-609-3330
Mailing Address - Fax:865-609-3390
Practice Address - Street 1:11653 CHAPMAN HWY
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:TN
Practice Address - Zip Code:37865-5099
Practice Address - Country:US
Practice Address - Phone:865-609-3330
Practice Address - Fax:865-609-3390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1978111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4105992OtherBCBS