Provider Demographics
NPI:1790058840
Name:SENVIEL, DANIELLE FRATELLONE (DC)
Entity Type:Individual
Prefix:MISS
First Name:DANIELLE
Middle Name:FRATELLONE
Last Name:SENVIEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:MARIE
Other - Last Name:FRATELLONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2717 WESTERN BYP STE 109
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-5771
Mailing Address - Country:US
Mailing Address - Phone:919-493-1940
Mailing Address - Fax:919-237-2770
Practice Address - Street 1:2717 WESTERN BYP STE 109
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-5771
Practice Address - Country:US
Practice Address - Phone:919-493-1940
Practice Address - Fax:919-237-2770
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-21
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4914111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNN2907J030OtherMEDICARE ID
CAGC243AOtherMEDICARE PROVIDER NUMBER
NCNN2907C293OtherMEDICARE ID