Provider Demographics
NPI:1801394911
Name:KLOPE, DANIEL WELLS (DC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:WELLS
Last Name:KLOPE
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 1:575 SE MIDWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-5023
Mailing Address - Country:US
Mailing Address - Phone:360-632-5952
Mailing Address - Fax:844-691-1298
Practice Address - Street 1:575 SE MIDWAY BLVD
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-5023
Practice Address - Country:US
Practice Address - Phone:360-632-5952
Practice Address - Fax:644-691-1298
Is Sole Proprietor?:No
Enumeration Date:2018-01-24
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60824615111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1548433683Medicaid
WA1285653675Medicaid