Provider Demographics
NPI:1194944587
Name:CHAMBERLAIN, DANIEL S (DC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:S
Last Name:CHAMBERLAIN
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 1:2207 N MOLTER RD STE 250
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-7582
Mailing Address - Country:US
Mailing Address - Phone:509-893-9939
Mailing Address - Fax:509-893-9107
Practice Address - Street 1:2207 N MOLTER RD STE 250
Practice Address - Street 2:
Practice Address - City:LIBERTY LAKE
Practice Address - State:WA
Practice Address - Zip Code:99019-7582
Practice Address - Country:US
Practice Address - Phone:509-893-9939
Practice Address - Fax:509-893-9107
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003605111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor