Provider Demographics
NPI:1962551994
Name:SCARINGE, DANIEL WILLIAM (DC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:WILLIAM
Last Name:SCARINGE
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 1:1329 BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06119-1603
Mailing Address - Country:US
Mailing Address - Phone:860-236-9300
Mailing Address - Fax:860-236-9306
Practice Address - Street 1:1329 BOULEVARD
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06119-1603
Practice Address - Country:US
Practice Address - Phone:860-236-9300
Practice Address - Fax:860-236-9306
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001469111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U89625Medicare UPIN