Dodson, Daniel Jack

Dodson, Daniel Jack is an individual health care provider with primary practice located at 15770 Paul Vega Md Dr Suite 100, Hammond LA 70403-1475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Dodson, Daniel Jack can be contacted via phone (985) 230-3937.

Contact Information

Primary practice address
15770 Paul Vega Md Dr Suite 100 Hammond LA 70403-1475
Phone: (985) 230-3937
Fax: (985) 230-3935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 19793 Mississippi
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD.026383 Louisiana

Profile Details

NPI number 1033310271
LBN Legal business name Dodson, Daniel Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2007
Last updated Mar 8th, 2021 - about 4 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 1033310271 NPPES
Louisiana MEDICAID 1057835

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