Provider Demographics
NPI:1124337258
Name:DANNY J. MINOR, D.C.,P.C.
Entity type:Organization
Organization Name:DANNY J. MINOR, D.C.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/SEC/TREAS
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:J
Authorized Official - Last Name:MINOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:276-679-2321
Mailing Address - Street 1:936 PARK AVE NW
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:VA
Mailing Address - Zip Code:24273-1821
Mailing Address - Country:US
Mailing Address - Phone:276-679-2321
Mailing Address - Fax:276-679-2321
Practice Address - Street 1:936 PARK AVE NW
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:VA
Practice Address - Zip Code:24273-1821
Practice Address - Country:US
Practice Address - Phone:276-679-2321
Practice Address - Fax:278-679-2321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000509261QV0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QV0200XAmbulatory Health Care FacilitiesClinic/CenterVA
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA350000560Medicare PIN