Provider Demographics
NPI:1053469130
Name:DAIGLE, DAVID E (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:DAIGLE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:170 US ROUTE 1
Mailing Address - Street 2:SUITE 220
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-2154
Mailing Address - Country:US
Mailing Address - Phone:207-781-8333
Mailing Address - Fax:207-781-8334
Practice Address - Street 1:170 US ROUTE 1
Practice Address - Street 2:SUITE 220
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-2154
Practice Address - Country:US
Practice Address - Phone:207-781-8333
Practice Address - Fax:207-781-8334
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MECR2045111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR105837Medicare UPIN