Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | AL |
NPI | 1164421038 |
---|---|
Provider Name | Mr. Danny M Helms |
First Address | Anniston, AL 36207-4756 |
Second Address | Anniston, AL 36207-4756 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2005 |
Last Update Date | 06/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0993530001 | PALMETTO GOVT BENEFITS (01) | |
510-38689 | (02) | AL |