Danielson, Carl Leon

Danielson, Carl Leon is an sole proprietor health care provider with primary practice located at 50 Rowe Street Suite 400, Melrose MA 02176. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Danielson, Carl Leon can be contacted via phone (781) 665-4462.

Contact Information

Primary practice address
50 Rowe Street Suite 400 Melrose MA 02176
Phone: (781) 665-4462
Fax: (781) 620-1930
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 76101 Massachusetts

Profile Details

NPI number 1366488736
LBN Legal business name Danielson, Carl Leon
Credentials MD FACS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2006
Last updated Mar 13th, 2015 - about 11 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 1366488736 NPPES
Other 3093719 MASSHEALTH
Other 459233 MASSHEALTH
Other 076101 MASSHEALTH
Other 459233 MASSHEALTH
Other J12576 MASSHEALTH
Other 076101 MASSHEALTH
Other 8557 MASSHEALTH
MEDICAID 3093719 MASSHEALTH
Other 39271 MASSHEALTH
Other 99028701 MASSHEALTH
Other 0035205 MASSHEALTH
Other 076101 MASSHEALTH
Other PR12357520001 MASSHEALTH

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