Provider Demographics
NPI:1013231554
Name:PAINTER, DANIEL CHARLES (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:CHARLES
Last Name:PAINTER
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 1:1384 VERA DR
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49242-9823
Mailing Address - Country:US
Mailing Address - Phone:517-437-4767
Mailing Address - Fax:517-437-0567
Practice Address - Street 1:1384 VERA DR
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-9823
Practice Address - Country:US
Practice Address - Phone:517-437-4767
Practice Address - Fax:517-437-0567
Is Sole Proprietor?:No
Enumeration Date:2010-03-25
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009605111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor