Provider Demographics
NPI:1477765691
Name:DANIEL M. POOLE D.C.P.A.
Entity type:Organization
Organization Name:DANIEL M. POOLE D.C.P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:POOLE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:207-465-4325
Mailing Address - Street 1:9 SWAN HILL RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04963-4831
Mailing Address - Country:US
Mailing Address - Phone:207-465-4325
Mailing Address - Fax:207-465-4335
Practice Address - Street 1:9 SWAN HILL RD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:ME
Practice Address - Zip Code:04963-4831
Practice Address - Country:US
Practice Address - Phone:207-465-4325
Practice Address - Fax:207-465-4335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR1233111N00000X
MECR1232111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1417998238OtherNPI DR. ANGELA L HASTINGS
ME1548202831OtherNPI DR. DANIEL M POOLE
ME1548202831OtherNPI DR. DANIEL M POOLE
MEMM8671Medicare ID - Type UnspecifiedDR. DANIEL M POOLE