Danielson, Guy O
Danielson, Guy O is an sole proprietor health care provider with primary practice located at 1814 Roseland Blvd Suite 200, Tyler TX 75701-4244. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Danielson, Guy O can be contacted via phone (903) 595-8077.Contact Information
Primary practice address
1814 Roseland Blvd Suite 200
Tyler TX 75701-4244
Phone: (903) 595-8077
Fax: (903) 363-1541
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | E7042 | Texas |
Profile Details
| NPI number | 1801905674 |
|---|---|
| LBN Legal business name | Danielson, Guy O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Feb 2nd, 2016 - about 10 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 | 1801905674 | NPPES |
| Texas | MEDICAID | 137457111 | |
| Texas | Other | 8K6370 |
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