Provider Demographics
NPI:1689023525
Name:CHANEY, DANNY II
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:
Last Name:CHANEY
Suffix:II
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 1:3702 HESS AVE
Mailing Address - Street 2:APT 6
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48601-4082
Mailing Address - Country:US
Mailing Address - Phone:586-872-4172
Mailing Address - Fax:
Practice Address - Street 1:3702 HESS AVE
Practice Address - Street 2:APT 6
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-4082
Practice Address - Country:US
Practice Address - Phone:586-872-4172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-10
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIC500135085184247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other