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General NPI Number Information
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NPI Number | 1770775454
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Entity Type | Organization
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Legal Business Name | CINDY L. DANCHAK DC
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Dates
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Enumeration Date | 08/15/2007
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Last Update Date | 02/25/2013
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Provider Practice Location Address
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Address Line | 13230 WINDYGATE LN
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City | SAINT LOUIS
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State | MO
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Zip | 63146-2240
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Country | US
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Telephone | 314-412-8233
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Fax |
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Provider Business Mailing Address
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Address Line | 625 SHORE RD
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City | NORTHPORT
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State | ME
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Zip | 04849-4217
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Country | US
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Telephone | 207-322-4300
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. CINDY L. DANCHAK
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Credential | DC
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Telephone | 207-322-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CR 952
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License Number State | ME
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