Provider Demographics
NPI:1134181092
Name:SIGMAN, DANIEL EDWARD (DC)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:EDWARD
Last Name:SIGMAN
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 1:610 EAST BLVD
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-2902
Mailing Address - Country:US
Mailing Address - Phone:605-348-5647
Mailing Address - Fax:605-348-4496
Practice Address - Street 1:610 EAST BLVD
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-2902
Practice Address - Country:US
Practice Address - Phone:605-348-5647
Practice Address - Fax:605-348-4496
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD786111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD4999482OtherBCBS
SD7600640Medicaid
SDS2885Medicare ID - Type Unspecified
SD7600640Medicaid