Danielson, John R.

Danielson, John R. is an sole proprietor health care provider with primary practice located at 8053 Cleveland Pl , Merrillville IN 46410-5303. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Danielson, John R. can be contacted via phone (219) 769-4456.

Contact Information

Primary practice address
8053 Cleveland Pl Merrillville IN 46410-5303
Phone: (219) 769-4456
Fax: (219) 769-1468
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 01034603 Indiana
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 01034603A Indiana

Profile Details

NPI number 1104966720
LBN Legal business name Danielson, John R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Jul 3rd, 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 1104966720 NPPES
Indiana MEDICAID 100201750A
Indiana Other 240000555
Indiana Other 000000095467

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