Healthcare Provider Details

I. General information

NPI: 1770654014
Provider Name (Legal Business Name): DANIEL STEVEN CARLSON DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5252A OLDE TOWNE RD
WILLIAMSBURG VA
23188
US

IV. Provider business mailing address

5252A OLDE TOWNE RD
WILLIAMSBURG VA
23188
US

V. Phone/Fax

Practice location:
  • Phone: 757-220-0060
  • Fax: 757-229-3481
Mailing address:
  • Phone: 757-220-0060
  • Fax: 757-229-3481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104556289
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number0104556289
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: