Provider Demographics
NPI:1700016144
Name:DANIEL D CHASSE,DC. PA
Entity Type:Organization
Organization Name:DANIEL D CHASSE,DC. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHASSE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:207-834-6865
Mailing Address - Street 1:155 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FORT KENT
Mailing Address - State:ME
Mailing Address - Zip Code:04743-1446
Mailing Address - Country:US
Mailing Address - Phone:207-834-6865
Mailing Address - Fax:207-834-2477
Practice Address - Street 1:155 E MAIN ST
Practice Address - Street 2:
Practice Address - City:FORT KENT
Practice Address - State:ME
Practice Address - Zip Code:04743-1446
Practice Address - Country:US
Practice Address - Phone:207-834-6865
Practice Address - Fax:207-834-2477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-20
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME660111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME131100099Medicaid
MEMM0759OtherMEDICARE ID
MET31357Medicare UPIN