Provider Demographics
NPI:1053608927
Name:DANIEL, JAMES W
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:DANIEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2115 SPAIN DR
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-4850
Mailing Address - Country:US
Mailing Address - Phone:785-776-6464
Mailing Address - Fax:785-776-6464
Practice Address - Street 1:2115 SPAIN DR
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-4850
Practice Address - Country:US
Practice Address - Phone:785-776-6464
Practice Address - Fax:785-776-6464
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-29
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other