Daniel, Stephen Darrell

Daniel, Stephen Darrell is an individual health care provider with primary practice located at 1000 Greg Kruschek Ave. Norton Sound Health Corporation, Nome AK 99762-0966. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Daniel, Stephen Darrell can be contacted via phone (907) 443-3311.

Contact Information

Primary practice address
1000 Greg Kruschek Ave. Norton Sound Health Corporation Nome AK 99762-0966
Fax: (907) 443-4570
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5318 Alaska

Profile Details

NPI number 1588636070
LBN Legal business name Daniel, Stephen Darrell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Mar 27th, 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 1588636070 NPPES
Alaska MEDICAID MD2962

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