Provider Demographics
NPI:1235829243
Name:DANIEL, WILLIAM HENRY
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:HENRY
Last Name:DANIEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13204 EASTFIELD RD # A600
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-9625
Mailing Address - Country:US
Mailing Address - Phone:980-288-5440
Mailing Address - Fax:
Practice Address - Street 1:13024 EASTFIELD RD # A600
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-6604
Practice Address - Country:US
Practice Address - Phone:980-288-5440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other