Provider Demographics
NPI:1174602981
Name:PAAR, DAWN MARIE (DC)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE
Last Name:PAAR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:MARIE
Other - Last Name:EEKHOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6200 GISHOLT DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53713
Mailing Address - Country:US
Mailing Address - Phone:608-222-3022
Mailing Address - Fax:608-222-9445
Practice Address - Street 1:6200 GISHOLT DR
Practice Address - Street 2:SUITE 103
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713
Practice Address - Country:US
Practice Address - Phone:608-222-3022
Practice Address - Fax:608-222-9445
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3164012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38903600Medicaid
WI38903600Medicaid
70746Medicare ID - Type Unspecified