Provider Demographics
NPI:1861839656
Name:POFF, DANIEL JOHN (DC)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:JOHN
Last Name:POFF
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 1:315 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2902
Mailing Address - Country:US
Mailing Address - Phone:864-271-4099
Mailing Address - Fax:
Practice Address - Street 1:315 E BROAD ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-2902
Practice Address - Country:US
Practice Address - Phone:989-640-2536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2013-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3839111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor