Dutra, Danielle
Dutra, Danielle is an individual health care provider with primary practice located at 1485 Jesse Jewell Pkwy Ne Ste 200 , Gainesville GA 30501-3802. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Dutra, Danielle can be contacted via phone (770) 534-5255.Contact Information
Primary practice address
1485 Jesse Jewell Pkwy Ne Ste 200
Gainesville GA 30501-3802
Phone: (770) 534-5255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 92038 | Georgia |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1316400518 |
|---|---|
| LBN Legal business name | Dutra, Danielle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2019 |
| Last updated | Jul 12th, 2022 - 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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