Provider Demographics
NPI:1699835702
Name:BINDL, DANA S (DC)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:S
Last Name:BINDL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DANA
Other - Middle Name:S
Other - Last Name:FARRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:650 EVERGREEN TRL
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:WI
Mailing Address - Zip Code:53901-1460
Mailing Address - Country:US
Mailing Address - Phone:608-743-4300
Mailing Address - Fax:608-742-4311
Practice Address - Street 1:2121 NEW PINERY RD
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:WI
Practice Address - Zip Code:53901-1201
Practice Address - Country:US
Practice Address - Phone:608-742-4300
Practice Address - Fax:608-742-4311
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010825111N00000X
WI4238-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIV11416Medicare UPIN