Daniels, John S
Daniels, John S is an individual health care provider with primary practice located at 4921 Parkview Pl Ste 13A, Saint Louis MO 63110-1032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Daniels, John S can be contacted via phone (314) 333-4100.Contact Information
Primary practice address
4921 Parkview Pl Ste 13A
Saint Louis MO 63110-1032
Phone: (314) 333-4100
Fax: (314) 333-4115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | R6678 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R6678 | Missouri |
Profile Details
| NPI number | 1104978964 |
|---|---|
| LBN Legal business name | Daniels, John S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jun 13th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104978964 | NPPES |
| Missouri | MEDICAID | 200846137 |
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