Provider Demographics
NPI:1225677305
Name:RUNYAN, DANIELE ELLEN (DC)
Entity Type:Individual
Prefix:
First Name:DANIELE
Middle Name:ELLEN
Last Name:RUNYAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1640 OLD APEX RD
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-5719
Mailing Address - Country:US
Mailing Address - Phone:919-367-6752
Mailing Address - Fax:
Practice Address - Street 1:1628 OLD APEX RD
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-5719
Practice Address - Country:US
Practice Address - Phone:919-367-6752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-06
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5127111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5127OtherCHIROPRACTIC LICENCE