Provider Demographics
NPI:1942440417
Name:DANOV, GENE TYLER (DC)
Entity type:Individual
Prefix:DR
First Name:GENE
Middle Name:TYLER
Last Name:DANOV
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 EXECUTIVE DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-2921
Mailing Address - Country:US
Mailing Address - Phone:317-846-4400
Mailing Address - Fax:
Practice Address - Street 1:20 EXECUTIVE DR
Practice Address - Street 2:SUITE F
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2921
Practice Address - Country:US
Practice Address - Phone:317-846-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08000746A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor