Provider Demographics
NPI:1801394911
Name:KLOPE, DANIEL WELLS (DC)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:WELLS
Last Name:KLOPE
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 1:840 SE BAYSHORE DR STE 101
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-4062
Mailing Address - Country:US
Mailing Address - Phone:360-675-1066
Mailing Address - Fax:360-679-2278
Practice Address - Street 1:840 SE BAYSHORE DR STE 101
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-4062
Practice Address - Country:US
Practice Address - Phone:360-675-1066
Practice Address - Fax:360-679-2278
Is Sole Proprietor?:No
Enumeration Date:2018-01-24
Last Update Date:2018-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60824615111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1285653675Medicaid
WA1548433683Medicaid