Provider Demographics
NPI:1972553352
Name:HESS, DAN A (DC)
Entity type:Individual
Prefix:DR
First Name:DAN
Middle Name:A
Last Name:HESS
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:PO BOX 5196
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34224-0196
Mailing Address - Country:US
Mailing Address - Phone:941-697-1028
Mailing Address - Fax:
Practice Address - Street 1:2961 PLACIDA RD
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:FL
Practice Address - Zip Code:34224-8525
Practice Address - Country:US
Practice Address - Phone:941-697-7960
Practice Address - Fax:941-697-8289
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3363111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88434OtherBLUE CROSS BLUE SHEILD
FL593466707OtherCHIROALLIANCE CORPORATION
FL88434OtherBLUE CROSS BLUE SHEILD
FLT55827Medicare UPIN