Provider Demographics
NPI:1013239250
Name:POLIZZI, DANIEL W (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:W
Last Name:POLIZZI
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 1:4185 E WILDCAT RESERVE PKWY STE 210
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-6804
Mailing Address - Country:US
Mailing Address - Phone:303-993-2134
Mailing Address - Fax:303-993-2008
Practice Address - Street 1:4185 E WILDCAT RESERVE PKWY STE 210
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-6804
Practice Address - Country:US
Practice Address - Phone:303-993-2134
Practice Address - Fax:303-993-2008
Is Sole Proprietor?:No
Enumeration Date:2010-02-15
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6482111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor