Provider Demographics
NPI:1083733133
Name:BALDWIN, DANNY DAVID (DC)
Entity Type:Individual
Prefix:MR
First Name:DANNY
Middle Name:DAVID
Last Name:BALDWIN
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 1:6223 112TH ST E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-4316
Mailing Address - Country:US
Mailing Address - Phone:253-286-2211
Mailing Address - Fax:253-286-2152
Practice Address - Street 1:6223 112TH ST E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-4316
Practice Address - Country:US
Practice Address - Phone:253-286-2211
Practice Address - Fax:253-286-2152
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA3681111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGAB10063Medicare ID - Type Unspecified