Provider Demographics
NPI:1558507418
Name:POZARNSKY, DANIEL IAN (DC)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:IAN
Last Name:POZARNSKY
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 1:300 45TH ST. S. #315
Mailing Address - Street 2:SUITE 315
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103
Mailing Address - Country:US
Mailing Address - Phone:701-893-7878
Mailing Address - Fax:701-893-7876
Practice Address - Street 1:300 45TH ST. S. #315
Practice Address - Street 2:SUITE 315
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103
Practice Address - Country:US
Practice Address - Phone:701-893-7878
Practice Address - Fax:701-893-7876
Is Sole Proprietor?:No
Enumeration Date:2008-12-26
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND832111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor