Provider Demographics
NPI:1346212347
Name:STASZAK, DAWN MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:MARIE
Last Name:STASZAK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DAWN
Other - Middle Name:M
Other - Last Name:HUNTSINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:265 W UWCHLAN AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-3361
Mailing Address - Country:US
Mailing Address - Phone:484-593-4178
Mailing Address - Fax:484-593-4179
Practice Address - Street 1:265 W UWCHLAN AVE
Practice Address - Street 2:A WELLNESS FROM WITHIN, LLC
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-3361
Practice Address - Country:US
Practice Address - Phone:484-593-4178
Practice Address - Fax:484-593-4179
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009520111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1346212347OtherINDIVIDUAL NPI