Game, Daniel Kassaye

Game, Daniel Kassaye is an sole proprietor health care provider with primary practice located at 1866 Raoul Wallenberg Blvd Suite B, Charleston SC 29407-3545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Game, Daniel Kassaye can be contacted via phone (843) 766-6646.

Contact Information

Primary practice address
1866 Raoul Wallenberg Blvd Suite B Charleston SC 29407-3545
Phone: (843) 766-6646
Fax: (843) 766-6646
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 22070 South Carolina

Profile Details

NPI number 1457322059
LBN Legal business name Game, Daniel Kassaye
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2006
Last updated Mar 4th, 2014 - about 12 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 1457322059 NPPES
South Carolina Other 290013912 MEDICARE ID-TYPE UNSPECIFIED/MEDICARE(RAILROAD)
South Carolina MEDICAID GP3435 MEDICARE ID-TYPE UNSPECIFIED/MEDICARE(RAILROAD)

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