Provider Demographics
NPI:1760680185
Name:DANAHER, STEVEN (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:DANAHER
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 1:712 D ST
Mailing Address - Street 2:SUITE J
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-3709
Mailing Address - Country:US
Mailing Address - Phone:415-457-9600
Mailing Address - Fax:415-457-1222
Practice Address - Street 1:712 D ST
Practice Address - Street 2:SUITE J
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-3709
Practice Address - Country:US
Practice Address - Phone:415-457-9600
Practice Address - Fax:415-457-1222
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30603111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor