Provider Demographics
NPI:1982809943
Name:TOLAND, DANIEL CHARLES III (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:CHARLES
Last Name:TOLAND
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13478 CARROLLTON BLVD
Mailing Address - Street 2:SUITE O
Mailing Address - City:CARROLLTON
Mailing Address - State:VA
Mailing Address - Zip Code:23314-3208
Mailing Address - Country:US
Mailing Address - Phone:757-745-7367
Mailing Address - Fax:757-745-7024
Practice Address - Street 1:13478 CARROLLTON BLVD
Practice Address - Street 2:SUITE 0
Practice Address - City:CARROLLTON
Practice Address - State:VA
Practice Address - Zip Code:23314-3208
Practice Address - Country:US
Practice Address - Phone:757-745-7367
Practice Address - Fax:757-745-7024
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555788111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA54-2021567OtherTAX ID
VA54-2021567OtherTAX ID