Fanselow, Daniel Joseph
Fanselow, Daniel Joseph is an sole proprietor health care provider with primary practice located at 6 Colonial Dr Suite 1, Westboro MA 01581-1407. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Fanselow, Daniel Joseph can be contacted via phone (508) 366-3333.Contact Information
Primary practice address
6 Colonial Dr Suite 1
Westboro MA 01581-1407
Phone: (508) 366-3333
Fax: (508) 366-3860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Neurology | 111NN0400X | 1420 | Massachusetts |
| Chiropractic Providers / Neurology | 111NN0400X | 000803 | Connecticut |
| Chiropractic Providers / Neurology | 111NN0400X | X005816 | New York |
Profile Details
| NPI number | 1669473997 |
|---|---|
| LBN Legal business name | Fanselow, Daniel Joseph |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Oct 8th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669473997 | NPPES |
| Massachusetts | Other | 210554 | AMERICAN SPECIALTY HEALTH |
| Massachusetts | Other | 14312 | AMERICAN SPECIALTY HEALTH |
| Massachusetts | Other | 546258 | AMERICAN SPECIALTY HEALTH |
| Massachusetts | MEDICAID | 9903976 | AMERICAN SPECIALTY HEALTH |
| Massachusetts | Other | W200631 | AMERICAN SPECIALTY HEALTH |
| Massachusetts | Other | 42083126 | AMERICAN SPECIALTY HEALTH |
| Massachusetts | Other | 4400279 | AMERICAN SPECIALTY HEALTH |
| Massachusetts | Other | 739970 | AMERICAN SPECIALTY HEALTH |
| Massachusetts | Other | 043255443 | AMERICAN SPECIALTY HEALTH |
| Massachusetts | Other | 35251 | AMERICAN SPECIALTY HEALTH |
| Massachusetts | Other | 59090 | AMERICAN SPECIALTY HEALTH |
| Massachusetts | Other | FAY35984 | AMERICAN SPECIALTY HEALTH |
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