Provider Demographics
NPI:1871593640
Name:HUELSMAN, DANIEL NORMAN (DC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:NORMAN
Last Name:HUELSMAN
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 1:57 ROBIN HOOD LN
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-1526
Mailing Address - Country:US
Mailing Address - Phone:937-339-2731
Mailing Address - Fax:937-339-2731
Practice Address - Street 1:57 ROBIN HOOD LN
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-1526
Practice Address - Country:US
Practice Address - Phone:937-339-2731
Practice Address - Fax:937-339-2731
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-22
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1795111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHHU0709511Medicare PIN
OHU27895Medicare UPIN