Provider Demographics
NPI:1386638161
Name:DASCHNER, ROBERT PAUL (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:PAUL
Last Name:DASCHNER
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 1:117 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:WASECA
Mailing Address - State:MN
Mailing Address - Zip Code:56093-2928
Mailing Address - Country:US
Mailing Address - Phone:507-835-7660
Mailing Address - Fax:507-835-7691
Practice Address - Street 1:117 N STATE ST
Practice Address - Street 2:
Practice Address - City:WASECA
Practice Address - State:MN
Practice Address - Zip Code:56093-2928
Practice Address - Country:US
Practice Address - Phone:507-835-7660
Practice Address - Fax:507-835-7691
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3328111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN3432181-00Medicaid
MN350002518Medicare ID - Type Unspecified
MN3432181-00Medicaid