Provider Demographics
NPI:1609942374
Name:THOMPSON, DANIEL BRIGHTON (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:BRIGHTON
Last Name:THOMPSON
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 1:1624 PIONEER ST
Mailing Address - Street 2:STE A
Mailing Address - City:ENUMCLAW
Mailing Address - State:WA
Mailing Address - Zip Code:98022-2299
Mailing Address - Country:US
Mailing Address - Phone:360-825-5757
Mailing Address - Fax:360-825-5784
Practice Address - Street 1:1624 PIONEER ST
Practice Address - Street 2:STE A
Practice Address - City:ENUMCLAW
Practice Address - State:WA
Practice Address - Zip Code:98022-2299
Practice Address - Country:US
Practice Address - Phone:360-825-5757
Practice Address - Fax:360-825-5784
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA3013111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA217000233Medicaid
WAU51597Medicare UPIN
WAAB26203Medicare PIN
WAGAB25891Medicare ID - Type Unspecified
WAGAB26203Medicare PIN