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Organization
DANNY W GNEWIKOW PH D LLC
Active
Organization
DANNY W GNEWIKOW PH D LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA S. GNEWIKOW B.A. (OFFICE MANAGER)
(434) 799-6288
Entity
Organization
Contact information
Practice address
743 MAIN ST, DANVILLE, VA 24541-1803
(434) 799-6288
(434) 797-3685
Mailing address
743 MAIN ST, DANVILLE, VA 24541-1803
(434) 799-6288
(434) 797-3685
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
9720000078
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10113944
OPTIMA FAMILY
VA
01
—
148920200
DEPARTMENT OF LABOR
—
01
—
248032
ANTHEM OF VA - DANVILLE
VA
01
—
59202
SOUTHERN HEALTH SERVICES
—
01
—
9720000078
BUSINESS LICENSE
VA
Enumeration date
07/29/2005
Last updated
04/10/2014
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