Provider Demographics
NPI:1578642948
Name:WESLING, DANIEL P (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:P
Last Name:WESLING
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 1:1229 WENTZVILLE PKWY
Mailing Address - Street 2:STE 201
Mailing Address - City:WENTZVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63385-3553
Mailing Address - Country:US
Mailing Address - Phone:636-327-8811
Mailing Address - Fax:636-327-8812
Practice Address - Street 1:213 CREEKSIDE OFFICE DR
Practice Address - Street 2:
Practice Address - City:WENTZVILLE
Practice Address - State:MO
Practice Address - Zip Code:63385-3290
Practice Address - Country:US
Practice Address - Phone:636-332-9100
Practice Address - Fax:636-332-9125
Is Sole Proprietor?:No
Enumeration Date:2006-11-04
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002001552111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
200263OtherBCBS
002014736Medicare ID - Type Unspecified
200263OtherBCBS