Provider Demographics
NPI:1770674988
Name:DINGLE, DANIEL HOWARD (MAC, LAC)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:HOWARD
Last Name:DINGLE
Suffix:
Gender:M
Credentials:MAC, LAC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2301 HARRISON AVE NW
Mailing Address - Street 2:#2-501
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502
Mailing Address - Country:US
Mailing Address - Phone:360-350-4655
Mailing Address - Fax:360-350-4655
Practice Address - Street 1:1800 COOPER POINT ROAD SW
Practice Address - Street 2:BLDG 15
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502
Practice Address - Country:US
Practice Address - Phone:360-539-5222
Practice Address - Fax:360-350-4655
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2016-08-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAAC00000176171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist