Daley, Patrick J

Daley, Patrick J is an individual health care provider with primary practice located at 11108 Parkview Circle Dr , Fort Wayne IN 46845-1730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Daley, Patrick J can be contacted via phone (260) 266-5700.

Contact Information

Primary practice address
11108 Parkview Circle Dr Fort Wayne IN 46845-1730
Fax: (260) 266-5920
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01035420A Indiana

Profile Details

NPI number 1255333951
LBN Legal business name Daley, Patrick J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Sep 23rd, 2013 - about 13 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 1255333951 NPPES
Indiana Other 060070888 RR MEDICARE
Indiana MEDICAID 0783488 RR MEDICARE
Indiana MEDICAID 100085410 RR MEDICARE
Indiana Other 000000641071 RR MEDICARE
Indiana Other P00807503 RR MEDICARE

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