National Provider Identifier
Daniel G. Jividen, D.C.
Daniel G. Jividen, D.C. is listed in the NPPES registry with a primary specialty of Chiropractor in Spencerport, NY and a listed phone number of (585) 352-3254.
Profile Overview
- NPI
- 1760569057
- Provider Type
- Individual
- Primary Specialty
- Chiropractor
- Enumeration Date
- November 01, 2006
- Last Updated
- July 08, 2007
Practice Location
- 66 Nichols St
- Spencerport, NY 14559-2192
Phone: (585) 352-3254
Mailing Address
- PO Box 412
- Spencerport, NY 14559-0412
Specialties
- Chiropractor (111N00000X)
Full Record
- NPI
- 1760569057
- Entity Type
- Individual
- Last Name
- Jividen
- First Name
- Daniel
- Middle Name
- G.
- Credential
- D.C.
- Provider Other Last Name
- Jividen
- Provider Other First Name
- Daniel
- Provider Other Middle Name
- G.
- Provider Other Credential Text
- D.C.
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- PO Box 412
- Mailing City
- Spencerport
- Mailing State
- NY
- Mailing ZIP Code
- 14559-0412
- Mailing Country
- US
- Mailing Phone
- (585) 352-3254
- Mailing Fax
- (585) 349-7194
- Practice Street Address
- 66 Nichols St
- Practice City
- Spencerport
- Practice State
- NY
- Practice ZIP Code
- 14559-2192
- Practice Country
- US
- Practice Phone
- (585) 352-3254
- Practice Fax
- (585) 349-7194
- Enumeration Date
- November 01, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Chiropractor (111N00000X)