Provider Demographics
NPI:1538417779
Name:HALE, DANNY (RRT, RCP)
Entity type:Individual
Prefix:MR
First Name:DANNY
Middle Name:
Last Name:HALE
Suffix:
Gender:M
Credentials:RRT, RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 CONSTITUTION, NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110
Mailing Address - Country:US
Mailing Address - Phone:505-559-8749
Mailing Address - Fax:505-291-2133
Practice Address - Street 1:8300 CONSTITUTION, NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110
Practice Address - Country:US
Practice Address - Phone:505-559-8749
Practice Address - Fax:505-291-2133
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-20
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM8242279E1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279E1000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredEducational
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM824OtherSTATE OF NM REGULATION AND LICENSING BOARD, RESPIRATORY CARE