Healthcare Provider Details

I. General information

NPI: 1891796546
Provider Name (Legal Business Name): BARBARA A DAHILL DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BARBARA A HINMAN

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 08/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 LANG BLVD
GRAND ISLAND NY
14072-1601
US

IV. Provider business mailing address

PO BOX 1243
GRAND ISLAND NY
14072-8243
US

V. Phone/Fax

Practice location:
  • Phone: 716-774-0442
  • Fax: 716-775-8004
Mailing address:
  • Phone: 716-774-0442
  • Fax: 716-775-8004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX007454
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: