Provider Demographics
NPI:1578671251
Name:HANSEN, DANIEL HUGHES (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:HUGHES
Last Name:HANSEN
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 1:615 S DIVISION ST
Mailing Address - Street 2:STE C3
Mailing Address - City:MOSES LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98837
Mailing Address - Country:US
Mailing Address - Phone:509-764-1937
Mailing Address - Fax:509-764-1938
Practice Address - Street 1:615 S DIVISION ST
Practice Address - Street 2:STE C3
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837
Practice Address - Country:US
Practice Address - Phone:509-764-1937
Practice Address - Fax:509-764-1938
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH3575111N00000X
NVB697111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0121419OtherLABOR AND INDUSTRY
WA2021699Medicaid
WA2021699Medicaid
WAGAB04253Medicare ID - Type Unspecified