Provider Demographics
NPI:1649302647
Name:DAHLHAUSER, JOHN S (DC)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:S
Last Name:DAHLHAUSER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:1900 EMERY ST NW
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-2570
Mailing Address - Country:US
Mailing Address - Phone:404-924-7570
Mailing Address - Fax:404-835-4462
Practice Address - Street 1:1900 EMERY ST NW
Practice Address - Street 2:SUITE 102
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-2570
Practice Address - Country:US
Practice Address - Phone:404-924-7570
Practice Address - Fax:404-835-4462
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2010-01-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GACHIRO05302111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCFVCMedicare UPIN