Provider Demographics
NPI:1861462343
Name:AHRENS, DANNY L
Entity Type:Individual
Prefix:MR
First Name:DANNY
Middle Name:L
Last Name:AHRENS
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 1:0660 E 200 S
Mailing Address - Street 2:
Mailing Address - City:HARTFORD CITY
Mailing Address - State:IN
Mailing Address - Zip Code:47348-9733
Mailing Address - Country:US
Mailing Address - Phone:765-348-4381
Mailing Address - Fax:765-348-4381
Practice Address - Street 1:1608 N CHERRY ST
Practice Address - Street 2:
Practice Address - City:HARTFORD CITY
Practice Address - State:IN
Practice Address - Zip Code:47348-1356
Practice Address - Country:US
Practice Address - Phone:765-348-3558
Practice Address - Fax:765-348-3558
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17001114A237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist