Provider Demographics
NPI:1174845648
Name:STEPHEN J. DALSING D.C.P.C.
Entity Type:Organization
Organization Name:STEPHEN J. DALSING D.C.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DALSING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-556-0601
Mailing Address - Street 1:1920 JFK RD
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002-3896
Mailing Address - Country:US
Mailing Address - Phone:563-556-0601
Mailing Address - Fax:563-556-0605
Practice Address - Street 1:1920 JFK RD
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002-3896
Practice Address - Country:US
Practice Address - Phone:563-556-0601
Practice Address - Fax:563-556-0605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA4379111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty