Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | 35050076 | OH |
NPI | 1487658993 |
---|---|
Provider Name | Christopher John Danis |
First Address | Dayton, OH 45459-4778 |
Second Address | Dayton, OH 45459-4778 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2005 |
Last Update Date | 21/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000013684 | ANTHEM (01) | OH |
0703313 | (05) | OH |
09-01338 | UNITED HEALTHCARE (01) | OH |
D34026 | (02) | OH |
D50076 | CHOICE CARE (01) | OH |