Provider Demographics
NPI:1114020591
Name:VOLOSIN, DANIEL J JR (DC)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:J
Last Name:VOLOSIN
Suffix:JR
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 1:114 WALNUT HILL RD
Mailing Address - Street 2:WALNUT HILL SHOPPES UNIT 9
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401
Mailing Address - Country:US
Mailing Address - Phone:724-434-2220
Mailing Address - Fax:
Practice Address - Street 1:114 WALNUT HILL RD
Practice Address - Street 2:WALNUT HILL SHOPPES UNIT 9
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401
Practice Address - Country:US
Practice Address - Phone:724-434-2220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007761L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA040172Medicare ID - Type Unspecified