Provider Demographics
NPI:1619068459
Name:SJOGREN, DANIEL (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:SJOGREN
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 1:113 1/2 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01540-1780
Mailing Address - Country:US
Mailing Address - Phone:508-449-3919
Mailing Address - Fax:508-499-3726
Practice Address - Street 1:113 1/2 MAIN STREET
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MA
Practice Address - Zip Code:01540-1780
Practice Address - Country:US
Practice Address - Phone:508-449-3919
Practice Address - Fax:508-499-3726
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2813111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAV12396Medicare UPIN