Provider Demographics
NPI:1659476109
Name:DANIEL, JAMES GORDON (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GORDON
Last Name:DANIEL
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 1:305 NORTH DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-4205
Mailing Address - Country:US
Mailing Address - Phone:410-749-6672
Mailing Address - Fax:410-860-5387
Practice Address - Street 1:305 NORTH DIVISION STREET
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-4205
Practice Address - Country:US
Practice Address - Phone:410-749-6672
Practice Address - Fax:410-860-5387
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01106111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDT59544Medicare ID - Type Unspecified