Provider Demographics
NPI:1164568853
Name:SHUEMAKE, DANIEL ERIC (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ERIC
Last Name:SHUEMAKE
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 1:5657 S HIMALAYA ST STE 250
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-5310
Mailing Address - Country:US
Mailing Address - Phone:303-617-0777
Mailing Address - Fax:
Practice Address - Street 1:5657 S HIMALAYA ST STE 250
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80015-5310
Practice Address - Country:US
Practice Address - Phone:303-617-0777
Practice Address - Fax:303-617-1510
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5076111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO810369Medicare PIN
COU98808Medicare UPIN
CO526168Medicare ID - Type Unspecified