Provider Demographics
NPI:1669688289
Name:NUET, DANIEL O (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:O
Last Name:NUET
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 1:1286 UNIVERSITY AVE
Mailing Address - Street 2:#238
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-3312
Mailing Address - Country:US
Mailing Address - Phone:619-417-0249
Mailing Address - Fax:
Practice Address - Street 1:3900 5TH AVE
Practice Address - Street 2:#230
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-3121
Practice Address - Country:US
Practice Address - Phone:619-417-0249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27274111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician