Individual
DR. DONALD JOHN VAN TASSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2309 WEDNESDAY ST, TALLAHASSEE, FL 32308-4335
(850) 385-5113
(850) 385-5601
Mailing address
2309 WEDNESDAY ST, TALLAHASSEE, FL 32308-4335
(850) 385-5113
(850) 385-5601
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0006369
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20444443
BCBS GA
GA
01
—
22660
BLUE CROSS BLUE SHIELD FL
FL
01
—
3111F
BCBS LA
LA
Enumeration date
03/16/2007
Last updated
07/08/2007
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