Doctor Name: | ELDRA W DANIELS |
NPI Number: | 1295094431 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 121 N Nyes Rd Suite A Harrisburg, PA - 171123247 |
Business Phone Number: | 7176574040 |
Business Fax Number: | 7176719038 |
Mailing Address: | Po Box 854, Mca410 HERSHEY |
State: | PA |
Postal Code: | 170330854 |
Phone Number: | 8002334082 |
Fax Number: | 7175310671 |
NPI Enumeration Date: | 05/09/2012 |
NPI Last Update Date: | 06/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |