Provider Demographics
NPI:1679513808
Name:WILLIAMS, DANNY CURTIS (DC)
Entity type:Individual
Prefix:
First Name:DANNY
Middle Name:CURTIS
Last Name:WILLIAMS
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 1:1819 W COLORADO AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-3872
Mailing Address - Country:US
Mailing Address - Phone:303-903-2291
Mailing Address - Fax:
Practice Address - Street 1:1819 W COLORADO AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-3872
Practice Address - Country:US
Practice Address - Phone:719-635-3555
Practice Address - Fax:719-633-2198
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3570111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC801766Medicare ID - Type Unspecified
V04856Medicare UPIN