Provider Demographics
NPI:1467270108
Name:SANDERS, DANNY D JR
Entity type:Individual
Prefix:
First Name:DANNY
Middle Name:D
Last Name:SANDERS
Suffix:JR
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 1:4959 LINDENWOOD AVE APT 1W
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63109-1829
Mailing Address - Country:US
Mailing Address - Phone:314-226-5171
Mailing Address - Fax:
Practice Address - Street 1:201 EZELL LN APT A8
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:KY
Practice Address - Zip Code:42031-9150
Practice Address - Country:US
Practice Address - Phone:314-226-5171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care