Provider Demographics
NPI:1649518465
Name:MAUGHAN, DANIEL NELSON (DC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:NELSON
Last Name:MAUGHAN
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 1:1064 COUNTY ROAD 42 E
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-4652
Mailing Address - Country:US
Mailing Address - Phone:952-432-4252
Mailing Address - Fax:952-432-4254
Practice Address - Street 1:1064 COUNTY ROAD 42 E
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-4652
Practice Address - Country:US
Practice Address - Phone:952-432-4252
Practice Address - Fax:952-432-4254
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-29
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5683111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor