Daniel, David

Daniel, David is an sole proprietor health care provider with primary practice located at 4800 E Johnson Ave , Jonesboro AR 72401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Daniel, David can be contacted via phone (870) 936-8000.

Contact Information

Primary practice address
4800 E Johnson Ave Jonesboro AR 72401
Fax: (870) 936-2228
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X E-2689 Arkansas

Profile Details

NPI number 1811061351
LBN Legal business name Daniel, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated Jun 13th, 2018 - about 7 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 1811061351 NPPES
California MEDICAID 00G868070
California MEDICAID 142441001

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