Provider Demographics
NPI:1659199214
Name:BESSINGER, DANIEL DUANE
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:DUANE
Last Name:BESSINGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4132 S 3375 W
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:UT
Mailing Address - Zip Code:84401-3500
Mailing Address - Country:US
Mailing Address - Phone:801-678-6751
Mailing Address - Fax:
Practice Address - Street 1:4132 S 3375 W
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:UT
Practice Address - Zip Code:84401-3500
Practice Address - Country:US
Practice Address - Phone:801-678-6751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management