MEDICARE: DANE TECHNOLOGIES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1285681940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANE TECHNOLOGIES, INC.

Provider Business Mailing Address
First Line	:	7105 NORTHLAND TER N
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55428-1534
Country	:	US
Telephone Number	:	763-544-7779
Fax Number	:	763-582-0442

Provider Business Practice Location Address
First Line	:	7105 NORTHLAND TER N
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55428-1534
Country	:	US
Telephone Number	:	763-544-7779
Fax Number	:	763-582-0442

Authorized Official
Title or Position	:	EXECUTIVE VICE PRESIDENT
Name	:	MR. DAVID LECKEY
Credential	:
Telephone Number	:	763-544-7779

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	07/21/2022

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