Provider Demographics
NPI:1922111749
Name:HALL, DANIEL (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:HALL
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 1:5501 US HIGHWAY 93 N
Mailing Address - Street 2:SUITE #6
Mailing Address - City:FLORENCE
Mailing Address - State:MT
Mailing Address - Zip Code:59833-6856
Mailing Address - Country:US
Mailing Address - Phone:406-926-1017
Mailing Address - Fax:
Practice Address - Street 1:13450 SW 3RD ST
Practice Address - Street 2:SUITE #204D
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-2050
Practice Address - Country:US
Practice Address - Phone:877-380-7668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1112111N00000X
IDCHIA-1670111N00000X
FLCH12775111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor