Provider Demographics
NPI:1609049832
Name:HANLON, DANIELLE LOUISE (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:LOUISE
Last Name:HANLON
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 1:38 SW CUTOFF
Mailing Address - Street 2:
Mailing Address - City:NORTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01532-2159
Mailing Address - Country:US
Mailing Address - Phone:508-393-1900
Mailing Address - Fax:508-393-9490
Practice Address - Street 1:38 SW CUTOFF
Practice Address - Street 2:
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532-2159
Practice Address - Country:US
Practice Address - Phone:508-393-1900
Practice Address - Fax:508-393-9490
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1932111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor