Provider Demographics
NPI:1356144133
Name:DE PERKINS, DANIEL JAMES II
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:JAMES
Last Name:DE PERKINS
Suffix:II
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6006 PARK LANE DR APT 1
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-1654
Mailing Address - Country:US
Mailing Address - Phone:402-973-8295
Mailing Address - Fax:531-201-4505
Practice Address - Street 1:6006 PARK LANE DR APT 1
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-1654
Practice Address - Country:US
Practice Address - Phone:402-973-8295
Practice Address - Fax:531-201-4505
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide