Danny White

Individual provider Active NPI Community Health Worker · Van, WV

NPI 1467037101 · NPPES record last updated Mar 15, 2021

Key facts

NPI
1467037101
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
345 Bigson Church Rd
Apt. 303
Van, WV 25206
Phone
(304) 245-8949
NPI assigned
Mar 15, 2021
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)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

345 Bigson Church Rd
Apt. 303
Van, WV 25206

Mailing address

345 Bigson Church Rd
Apt. 303
Van, WV 25206
Phone (304) 245-8949

Other providers in Van, WV

All providers in Van, WV · Community Health Worker in West Virginia

Sources for this page

Verify at the official NPI Registry.