Provider Demographics
NPI:1538208749
Name:DANIEL SCHLUEB DC PA
Entity type:Organization
Organization Name:DANIEL SCHLUEB DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:SCHLUEB
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:941-365-4343
Mailing Address - Street 1:4022 SARASOTA AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34234-4554
Mailing Address - Country:US
Mailing Address - Phone:941-355-8110
Mailing Address - Fax:
Practice Address - Street 1:2727 TAMIAMI TRAIL
Practice Address - Street 2:SUITE 3
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239
Practice Address - Country:US
Practice Address - Phone:941-365-4343
Practice Address - Fax:941-365-4838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0003917111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70879Medicare ID - Type Unspecified