Mardones, Daniel

Mardones, Daniel is an sole proprietor health care provider with primary practice located at 2530 Debarr Rd , Anchorage AK 99508-2948. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Mardones, Daniel can be contacted via phone (907) 265-4220.

Contact Information

Primary practice address
2530 Debarr Rd Anchorage AK 99508-2948
Phone: (907) 265-4220
Fax: (907) 264-3515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 3427 Alaska
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD-7483 Hawaii

Profile Details

NPI number 1194705475
LBN Legal business name Mardones, Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2006
Last updated Feb 3rd, 2023 - about 3 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 1194705475 NPPES
Alaska MEDICAID MD02511

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