Provider Demographics
NPI:1477322725
Name:DOLAN CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:DOLAN CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-531-1851
Mailing Address - Street 1:6505 N PROSPECT AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:GLADSTONE
Mailing Address - State:MO
Mailing Address - Zip Code:64119-1570
Mailing Address - Country:US
Mailing Address - Phone:816-454-3399
Mailing Address - Fax:816-454-3012
Practice Address - Street 1:6505 N PROSPECT AVE STE 700
Practice Address - Street 2:
Practice Address - City:GLADSTONE
Practice Address - State:MO
Practice Address - Zip Code:64119-1570
Practice Address - Country:US
Practice Address - Phone:785-531-1851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty