Provider Demographics
NPI:1215238167
Name:DUGGAN, JOHN D (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:D
Last Name:DUGGAN
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:PO BOX 1056
Mailing Address - Street 2:
Mailing Address - City:NORTH BEND
Mailing Address - State:WA
Mailing Address - Zip Code:98045-1056
Mailing Address - Country:US
Mailing Address - Phone:425-888-4170
Mailing Address - Fax:
Practice Address - Street 1:249 MAIN AVE S
Practice Address - Street 2:B1
Practice Address - City:NORTH BEND
Practice Address - State:WA
Practice Address - Zip Code:98045-8177
Practice Address - Country:US
Practice Address - Phone:425-888-4170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2708111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor