Provider Demographics
NPI:1396443370
Name:DOAN, DANIEL NGUYEN (DC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:NGUYEN
Last Name:DOAN
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:PO BOX 407
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:PA
Mailing Address - Zip Code:19033-0407
Mailing Address - Country:US
Mailing Address - Phone:610-532-0657
Mailing Address - Fax:610-532-4258
Practice Address - Street 1:1000 SOUTH EASTON ROAD
Practice Address - Street 2:SUITE 210
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095
Practice Address - Country:US
Practice Address - Phone:215-277-3822
Practice Address - Fax:610-532-4258
Is Sole Proprietor?:No
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011812111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor