Hendricks, Daniel E

Hendricks, Daniel E is an individual health care provider with primary practice located at 2314 Nw Kings Blvd Ste A , Corvallis OR 97330-3925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Hendricks, Daniel E can be contacted via phone (541) 758-5047.

Contact Information

Primary practice address
2314 Nw Kings Blvd Ste A Corvallis OR 97330-3925
Phone: (541) 758-5047
Fax: (541) 758-3713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 0101237463 Virginia
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD29258 Oregon

Profile Details

NPI number 1689882730
LBN Legal business name Hendricks, Daniel E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Jan 28th, 2021 - about 5 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 1689882730 NPPES
Oregon MEDICAID 500606405

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