Healthcare Provider Details

I. General information

NPI: 1851404446
Provider Name (Legal Business Name): DAVID J. DOLAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 03/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 E LANCASTER AVE
READING PA
19607-2614
US

IV. Provider business mailing address

227 E LANCASTER AVE
READING PA
19607-2614
US

V. Phone/Fax

Practice location:
  • Phone: 610-775-1700
  • Fax: 610-775-4496
Mailing address:
  • Phone: 610-775-1700
  • Fax: 610-775-4496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberDC003910L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: