Provider Demographics
NPI:1558137174
Name:FLANAGAN, DANNY THOMAS JR (DMIN)
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:THOMAS
Last Name:FLANAGAN
Suffix:JR
Gender:M
Credentials:DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6804 KEYSTONE MANOR CT
Mailing Address - Street 2:
Mailing Address - City:DISTRICT HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20747-3951
Mailing Address - Country:US
Mailing Address - Phone:240-838-6761
Mailing Address - Fax:
Practice Address - Street 1:6804 KEYSTONE MANOR CT
Practice Address - Street 2:
Practice Address - City:DISTRICT HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20747-3951
Practice Address - Country:US
Practice Address - Phone:240-838-6761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator