Provider Demographics
NPI:1194008953
Name:DNK PARTNERS LLC
Entity Type:Organization
Organization Name:DNK PARTNERS LLC
Other - Org Name:BANKS LAKE MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:EARLE
Authorized Official - Last Name:DELP
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:509-386-3328
Mailing Address - Street 1:PO BOX 892
Mailing Address - Street 2:
Mailing Address - City:COULEE CITY
Mailing Address - State:WA
Mailing Address - Zip Code:99115-0892
Mailing Address - Country:US
Mailing Address - Phone:509-386-3328
Mailing Address - Fax:
Practice Address - Street 1:510 WEST MAIN
Practice Address - Street 2:
Practice Address - City:COULEE CITY
Practice Address - State:WA
Practice Address - Zip Code:99115-0892
Practice Address - Country:US
Practice Address - Phone:509-386-3328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care