Provider Demographics
NPI:1336386002
Name:DAY, DAVID J (LPN)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:J
Last Name:DAY
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 GRINNELL DR
Mailing Address - Street 2:
Mailing Address - City:YELLOW SPRINGS
Mailing Address - State:OH
Mailing Address - Zip Code:45387-9796
Mailing Address - Country:US
Mailing Address - Phone:937-767-1089
Mailing Address - Fax:
Practice Address - Street 1:1306 GRINNELL DR
Practice Address - Street 2:
Practice Address - City:YELLOW SPRINGS
Practice Address - State:OH
Practice Address - Zip Code:45387-9796
Practice Address - Country:US
Practice Address - Phone:937-767-1089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-16
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN119383164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse