Provider Demographics
NPI:1881457224
Name:DAY, DAVID
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:DAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13602 223RD ST SE
Mailing Address - Street 2:
Mailing Address - City:MOFFIT
Mailing Address - State:ND
Mailing Address - Zip Code:58560-9721
Mailing Address - Country:US
Mailing Address - Phone:701-220-4586
Mailing Address - Fax:
Practice Address - Street 1:13600 223RD ST SE
Practice Address - Street 2:
Practice Address - City:MOFFIT
Practice Address - State:ND
Practice Address - Zip Code:58560-9721
Practice Address - Country:US
Practice Address - Phone:701-220-4586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant