Debardeleben, Daniel Edward

Debardeleben, Daniel Edward is an individual health care provider with primary practice located at 388 Ypao Rd , Tamuning GU 96913-3701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Debardeleben, Daniel Edward can be contacted via phone (671) 646-8881.

Contact Information

Primary practice address
388 Ypao Rd Tamuning GU 96913-3701
Phone: (671) 646-8881
Fax: (671) 646-1292
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 90167 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.143366 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M-2282 Guam

Profile Details

NPI number 1598253379
LBN Legal business name Debardeleben, Daniel Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2018
Last updated Feb 8th, 2022 - about 3 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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