Douglas Gleason Danford
Individual provider Active NPI Private Vehicle · Alpha, OH
NPI 1033717004 · NPPES record last updated Oct 13, 2020
Key facts
- NPI
- 1033717004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Private Vehicle 347C00000X
- Practice address
- 774 Alpha Rd
Alpha, OH 45301-8009 - Phone
- (937) 429-1989
- NPI assigned
- Oct 13, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | Yes |
Addresses
Primary practice location
774 Alpha Rd
Alpha, OH 45301-8009
Mailing address
PO Box 45
Alpha, OH 45301-0045
Phone (937) 429-1989
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.