Provider Demographics
NPI:1063478972
Name:STRAUSS, DENNIS V (DC)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:V
Last Name:STRAUSS
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 1:6099 FRANKFORD AVE
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19135-4406
Mailing Address - Country:US
Mailing Address - Phone:215-535-2148
Mailing Address - Fax:
Practice Address - Street 1:6099 FRANKFORD AVE
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19135-4406
Practice Address - Country:US
Practice Address - Phone:215-535-2148
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001258L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT28900Medicare UPIN
PAST115505Medicare ID - Type Unspecified