Entwistle, Daniel Mark

Entwistle, Daniel Mark is an individual health care provider with primary practice located at 200 Arthur Dr , Thomasville NC 27360-6275. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Entwistle, Daniel Mark can be contacted via phone (336) 475-2348.

Contact Information

Primary practice address
200 Arthur Dr Thomasville NC 27360-6275
Phone: (336) 475-2348
Fax: (336) 475-2100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 95-00890 North Carolina

Profile Details

NPI number 1649413600
LBN Legal business name Entwistle, Daniel Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2009
Last updated Apr 7th, 2009 - 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 1649413600 NPPES
North Carolina Other 95-00890 NC LICENSE
North Carolina MEDICAID 8930936 NC LICENSE

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