Provider Demographics
NPI:1568575116
Name:RHOADS, DANIEL FRANCIS (DC)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:FRANCIS
Last Name:RHOADS
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 1:417 N MAIN STREET
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MITCHELL
Mailing Address - State:SD
Mailing Address - Zip Code:57301
Mailing Address - Country:US
Mailing Address - Phone:605-996-0661
Mailing Address - Fax:605-996-0661
Practice Address - Street 1:417 N MAIN STREET
Practice Address - Street 2:SUITE 110
Practice Address - City:MITCHELL
Practice Address - State:SD
Practice Address - Zip Code:57301
Practice Address - Country:US
Practice Address - Phone:605-996-0661
Practice Address - Fax:605-996-0661
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD771111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD7603770Medicaid
SD0002265OtherWELLMARK
SD7603770Medicaid
SDS2265Medicare PIN
SDS2265Medicare ID - Type Unspecified