Provider Demographics
NPI:1376774083
Name:DAN HIRSSIG INC
Entity Type:Organization
Organization Name:DAN HIRSSIG INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PST
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:HIRSSIG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:941-744-5744
Mailing Address - Street 1:129 39TH ST E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-5460
Mailing Address - Country:US
Mailing Address - Phone:941-744-5744
Mailing Address - Fax:
Practice Address - Street 1:6404 MANATEE AVE W
Practice Address - Street 2:SUITE D
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-2379
Practice Address - Country:US
Practice Address - Phone:941-794-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9652111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty