Large, Daniel

Large, Daniel is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3134. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Large, Daniel can be contacted via phone (207) 885-0011.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102-3134
Phone: (207) 885-0011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA6046 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA2028 Maine
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2028 Maine

Profile Details

NPI number 1508305707
LBN Legal business name Large, Daniel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2017
Last updated Apr 23rd, 2020 - about 6 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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