Provider Demographics
NPI:1720466212
Name:BOYLE, DANIELLE (DC)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:BOYLE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3348 SHERMAN CT
Mailing Address - Street 2:UNIT 103
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-5006
Mailing Address - Country:US
Mailing Address - Phone:651-207-6536
Mailing Address - Fax:
Practice Address - Street 1:3348 SHERMAN CT
Practice Address - Street 2:UNIT 103
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55121-5006
Practice Address - Country:US
Practice Address - Phone:651-207-6536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-15
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6079111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor