Daniel  J  Hannan    DC
Contract Details
Facility name
Provider ID
P000005045
NPI
1669453874
Tax ID
421205848
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
2821 Hubbell Ave
Des Moines, IA 50317
United States
County
Polk
Phone
5152631313 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address