Provider Demographics
NPI:1891865309
Name:ARMSTRONG, DANNY MARVIN (DC)
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:MARVIN
Last Name:ARMSTRONG
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 1:2717 ASHMUN ST
Mailing Address - Street 2:
Mailing Address - City:SAULT SAINTE MARIE
Mailing Address - State:MI
Mailing Address - Zip Code:49783-3753
Mailing Address - Country:US
Mailing Address - Phone:906-253-4000
Mailing Address - Fax:
Practice Address - Street 1:2717 ASHMUN ST
Practice Address - Street 2:
Practice Address - City:SAULT SAINTE MARIE
Practice Address - State:MI
Practice Address - Zip Code:49783-3753
Practice Address - Country:US
Practice Address - Phone:906-253-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008643111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950E210600OtherBCBS
MI950E210600OtherBCBS
MIU94382Medicare UPIN