Blizzard, Daniel R.

Blizzard, Daniel R. is an individual health care provider with primary practice located at 120 Causeway Dr Ste 3 , Ocean Isle Beach NC 28469-7581. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blizzard, Daniel R. can be contacted via phone (910) 575-5004.

Contact Information

Primary practice address
120 Causeway Dr Ste 3 Ocean Isle Beach NC 28469-7581
Phone: (910) 575-5004
Fax: (855) 575-0700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2007-01189 North Carolina

Profile Details

NPI number 1437194354
LBN Legal business name Blizzard, Daniel R.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437194354 NPPES
Illinois MEDICAID 036114617
Illinois Other 200701189
Illinois Other 147N6
Illinois MEDICAID 5908511

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