Hiersche, Daniel Louis

Hiersche, Daniel Louis is an sole proprietor health care provider with primary practice located at 700 E Manitoba Ave Suite 106, Ellensburg WA 98926-3885. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hiersche, Daniel Louis can be contacted via phone (509) 962-6727.

Contact Information

Primary practice address
700 E Manitoba Ave Suite 106 Ellensburg WA 98926-3885
Fax: (509) 962-1994
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00022370 Washington

Profile Details

NPI number 1043297187
LBN Legal business name Hiersche, Daniel Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2005
Last updated Dec 17th, 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 1043297187 NPPES
Washington MEDICAID 1115476
Washington Other 157669

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