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NPI Code Detail

MEDICARE: DR. DANIEL HENRIE SR. D.C.

MEDICARE: DR. DANIEL HENRIE SR. D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor32755CA

General Provider Information

NPI Number : 1063841609
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL HENRIE SR. D.C.
Provider Business Mailing Address
First Line : 1333 N 2ND ST
Second Line :
City : EL CAJON
State : CA
Zip : 92021-3434
Country : US
Telephone Number : 619-444-4792
Fax Number : 619-444-4892
Provider Business Practice Location Address
First Line : 1333 N 2ND ST
Second Line :
City : EL CAJON
State : CA
Zip : 92021-3434
Country : US
Telephone Number : 619-444-4792
Fax Number : 619-444-4892
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2013
Last Update Date : 05/29/2020

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