Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DANIEL EDMUND BANELLIS
Active Sole ProprietorDANIEL EDMUND BANELLIS is a Substance Abuse Rehabilitation Facility healthcare provider located in SALT LAKE CITY, Utah. NPI 1194087015 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1194087015
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2012 (14.120073886321 yrs)
- Last Updated
- Jun 15, 2012
- Sole Proprietor
- Yes
Practice Information
- Address
-
411 GRANT STSALT LAKE CITY, UT, 841162725Browse UT providers · Browse ZIP 84116
- Phone
- 8013598862
- Fax
- 8013598510
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Other Substance Abuse Rehabilitation Facility Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| MR. NICHOLAS CHRISTIAN FERRONE | LSAC | 1871893115 |
| MS. ALEXANDRA DAWN THOMAS | — | 1366726895 |
| ERIC LINDGREN | CSUDC | 1821417551 |
| BRUCE LEE | — | 1134518210 |
| CHRIS OSTLER | — | 1962891978 |
| GEORGE RIVERA | — | 1538601356 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.