Provider Demographics
NPI:1255040978
Name:DANIEL, ADANNAH
Entity type:Individual
Prefix:
First Name:ADANNAH
Middle Name:
Last Name:DANIEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 HUFFMAN RD STE 23
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-3561
Mailing Address - Country:US
Mailing Address - Phone:907-337-7463
Mailing Address - Fax:907-337-7400
Practice Address - Street 1:1120 HUFFMAN RD STE 23
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-3561
Practice Address - Country:US
Practice Address - Phone:907-337-7463
Practice Address - Fax:907-337-7400
Is Sole Proprietor?:No
Enumeration Date:2022-11-21
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK200799111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor