Mcdaniel, Roylan James
Mcdaniel, Roylan James is an sole proprietor health care provider with primary practice located at 2401 S Tucker Ave Ste 4 , Pittsburg KS 66762-6619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mcdaniel, Roylan James can be contacted via phone (620) 231-2490.Contact Information
Primary practice address
2401 S Tucker Ave Ste 4
Pittsburg KS 66762-6619
Phone: (620) 231-2490
Fax: (620) 231-3920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 20755 | Kansas |
Profile Details
| NPI number | 1902978000 |
|---|---|
| LBN Legal business name | Mcdaniel, Roylan James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Sep 30th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902978000 | NPPES |
| Kansas | MEDICAID | 100201960A |
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