Provider Demographics
NPI:1003142217
Name:HERRINGTON, DANIEL BRANDON (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:BRANDON
Last Name:HERRINGTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 HIGHWAY 15 N STE C
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MS
Mailing Address - Zip Code:39440-2652
Mailing Address - Country:US
Mailing Address - Phone:601-518-4545
Mailing Address - Fax:601-518-0029
Practice Address - Street 1:1309 HIGHWAY 15 N STE C
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MS
Practice Address - Zip Code:39440-2652
Practice Address - Country:US
Practice Address - Phone:601-518-4545
Practice Address - Fax:601-518-0029
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-22
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1150111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor