Provider Demographics
NPI:1871569814
Name:PICK, DAVID L (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:L
Last Name:PICK
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 1:160 CENTENNIAL HILLS RD
Mailing Address - Street 2:
Mailing Address - City:PORT MATILDA
Mailing Address - State:PA
Mailing Address - Zip Code:16870-8312
Mailing Address - Country:US
Mailing Address - Phone:814-692-7425
Mailing Address - Fax:814-690-1610
Practice Address - Street 1:160 CENTENNIAL HILLS RD
Practice Address - Street 2:
Practice Address - City:PORT MATILDA
Practice Address - State:PA
Practice Address - Zip Code:16870-8312
Practice Address - Country:US
Practice Address - Phone:814-692-7425
Practice Address - Fax:814-690-1610
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003328L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPI505429Medicare ID - Type Unspecified