Provider Demographics
NPI:1376551515
Name:ALEXANDER, DANIEL WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:WILLIAM
Last Name:ALEXANDER
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 1:14350 SOLOMONS ISLAND RD
Mailing Address - Street 2:SUITE 103A
Mailing Address - City:SOLOMONS
Mailing Address - State:MD
Mailing Address - Zip Code:20688-1269
Mailing Address - Country:US
Mailing Address - Phone:301-481-8383
Mailing Address - Fax:
Practice Address - Street 1:14350 SOLOMONS ISLAND RD
Practice Address - Street 2:SUITE 103A
Practice Address - City:SOLOMONS
Practice Address - State:MD
Practice Address - Zip Code:20688
Practice Address - Country:US
Practice Address - Phone:410-394-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01869111N00000X
FLCH7623111N00000X
NJMC05163111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD297M402FMedicare PIN
MDU74561Medicare UPIN