Provider Demographics
NPI:1285715383
Name:COFLIN, DANIEL L (DC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:L
Last Name:COFLIN
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 1:5444 CLAYTON RD
Mailing Address - Street 2:STE B
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94521-4000
Mailing Address - Country:US
Mailing Address - Phone:925-672-6500
Mailing Address - Fax:925-672-6502
Practice Address - Street 1:5444 CLAYTON RD
Practice Address - Street 2:STE B
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94521-4000
Practice Address - Country:US
Practice Address - Phone:925-672-6500
Practice Address - Fax:925-672-6502
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28050111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU91825Medicare UPIN
CAZZZ24105ZMedicare PIN