Provider Demographics
NPI:1699848028
Name:HESS, DANIEL FURL
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:FURL
Last Name:HESS
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:HC 64 BOX 98C
Mailing Address - Street 2:
Mailing Address - City:HONAKER
Mailing Address - State:VA
Mailing Address - Zip Code:24260-9421
Mailing Address - Country:US
Mailing Address - Phone:276-889-3927
Mailing Address - Fax:276-889-3927
Practice Address - Street 1:HC 64 BOX 98C
Practice Address - Street 2:
Practice Address - City:HONAKER
Practice Address - State:VA
Practice Address - Zip Code:24260-9421
Practice Address - Country:US
Practice Address - Phone:276-889-3927
Practice Address - Fax:276-889-3927
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator