Healthcare Provider Details

I. General information

NPI: 1831339456
Provider Name (Legal Business Name): DANIEL A SCHNEIDER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2009
Last Update Date: 12/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6201 PACIFIC AVE SUITE B
TACOMA WA
98023-5217
US

IV. Provider business mailing address

6201 PACIFIC AVE STE B
TACOMA WA
98408-7423
US

V. Phone/Fax

Practice location:
  • Phone: 253-503-3583
  • Fax: 253-276-9760
Mailing address:
  • Phone: 253-503-3583
  • Fax: 253-276-9760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number60070223
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: