Provider Demographics
NPI:1417125204
Name:MCCRAY, DANIEL RAY (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:RAY
Last Name:MCCRAY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 S VIKING WAY
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401-5338
Mailing Address - Country:US
Mailing Address - Phone:304-262-0700
Mailing Address - Fax:304-262-2854
Practice Address - Street 1:214 S VIKING WAY
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-5338
Practice Address - Country:US
Practice Address - Phone:304-262-0700
Practice Address - Fax:304-262-2854
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV880111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor