Provider Demographics
NPI:1447493242
Name:HIRSSIG, DANIEL JON (DC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JON
Last Name:HIRSSIG
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 1:6404 MANATEE AVE W
Mailing Address - Street 2:SUITE D
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-2379
Mailing Address - Country:US
Mailing Address - Phone:941-794-3600
Mailing Address - Fax:941-794-3600
Practice Address - Street 1:6404 MANATEE AVE W
Practice Address - Street 2:SUITE D
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-2379
Practice Address - Country:US
Practice Address - Phone:941-794-3600
Practice Address - Fax:941-794-3600
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9652111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor