Daniels, Charles D

Daniels, Charles D is an individual health care provider with primary practice located at 2700 Vine St , El Dorado AR 71730-6700. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Daniels, Charles D can be contacted via phone (870) 862-1144.

Contact Information

Primary practice address
2700 Vine St El Dorado AR 71730-6700
Phone: (870) 862-1144
Fax: (870) 864-0782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X N8314 Arkansas

Profile Details

NPI number 1396732335
LBN Legal business name Daniels, Charles D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Nov 26th, 2008 - about 17 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 1396732335 NPPES
Arkansas Other 16911000000 QUAL CHOICE
Arkansas Other 0424120002 QUAL CHOICE
Arkansas Other 200031991 QUAL CHOICE
Arkansas MEDICAID 129458001 QUAL CHOICE

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