Doctor Name: | JUSTICE DANIELS |
NPI Number: | 1326110990 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RDMS |
License Number: | 70562 |
Business Practice Address: | 34 Alan Ct # 333 Florence, KY - 410425360 |
Business Phone Number: | 8599913593 |
Business Fax Number: | 8593715216 |
Mailing Address: | 34 Alan Ct, # 333 FLORENCE |
State: | KY |
Postal Code: | 410425360 |
Phone Number: | 8599913593 |
Fax Number: | 8593715216 |
NPI Enumeration Date: | 11/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 70562 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |