# DANNY W GNEWIKOW PH D LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679573802
- **Authorized official:** MRS. LINDA S. GNEWIKOW B.A. (OFFICE MANAGER)
- **Authorized official phone:** (434) 799-6288

## Contact information

- **Practice address:** 743 MAIN ST, DANVILLE, VA 24541-1803
- **Practice address phone:** (434) 799-6288
- **Practice address fax:** (434) 797-3685
- **Mailing address:** 743 MAIN ST, DANVILLE, VA 24541-1803
- **Mailing address phone:** (434) 799-6288
- **Mailing address fax:** (434) 797-3685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 9720000078 | VA | Yes |

## Other

- **Enumeration date:** 07/29/2005
- **Last updated:** 04/10/2014

## 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 |