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Individual

DR. DANIEL PATRICK BANNARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
915 KILDAIRE FARM RD, SUITE4, CARY, NC 27511-3936
(919) 461-8400
Mailing address
915 KILDAIRE FARM RD, SUITE4, CARY, NC 27511-3936
(919) 461-8400

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1970
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004532911
AETNA
NC
01
0194L
CNC
NC
01
0823C
BLUE CROSS
NC
01
10915274
CAQH CRADENTIALING PROVID
NC
01
2454751
ANTHEM
NC
01
320254
ACN
NC
01
441437
MAMSI
NC
01
562142530
HUMANA
NC
01
56214253001
CIGNA
NC
05
890823C
NC
Enumeration date
10/29/2006
Last updated
07/08/2007
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