Provider Demographics
NPI:1841545191
Name:DUNBAR, DANIEL REESE (DC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:REESE
Last Name:DUNBAR
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 1:533 6TH ST
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-1937
Mailing Address - Country:US
Mailing Address - Phone:906-250-4937
Mailing Address - Fax:
Practice Address - Street 1:1012 8TH AVE
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-4506
Practice Address - Country:US
Practice Address - Phone:724-846-7489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-23
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010618111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor