Provider Demographics
NPI:1922000900
Name:BIGGER, DANIEL WYATT (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:WYATT
Last Name:BIGGER
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 1:502 S STILL RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-3577
Mailing Address - Country:US
Mailing Address - Phone:360-683-8111
Mailing Address - Fax:360-683-9341
Practice Address - Street 1:502 S STILL RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-3577
Practice Address - Country:US
Practice Address - Phone:360-683-8111
Practice Address - Fax:360-683-9341
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2011-11-10
Deactivation Date:2006-03-23
Deactivation Code:
Reactivation Date:2006-03-29
Provider Licenses
StateLicense IDTaxonomies
WA1899111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAT02662Medicare UPIN
WAG-001000091Medicare PIN