Provider Demographics
NPI:1124417381
Name:NOFFSINGER, DAN (DC)
Entity Type:Individual
Prefix:DR
First Name:DAN
Middle Name:
Last Name:NOFFSINGER
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 1:4700 N CAPITAL OF TEXAS HWY APT 210
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-1128
Mailing Address - Country:US
Mailing Address - Phone:512-761-3810
Mailing Address - Fax:
Practice Address - Street 1:4700 N CAPITAL OF TEXAS HWY APT 210
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-1128
Practice Address - Country:US
Practice Address - Phone:512-761-3810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12775111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition