Southren, Daniel L
Southren, Daniel L is an individual health care provider with primary practice located at 3400 Spruce St , Philadelphia PA 19104-4238. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Southren, Daniel L can be contacted via phone (215) 893-7246.Contact Information
Primary practice address
3400 Spruce St
Philadelphia PA 19104-4238
Phone: (215) 893-7246
Fax: (215) 893-7270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD469916 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 278076 | Massachusetts |
Profile Details
| NPI number | 1144600073 |
|---|---|
| LBN Legal business name | Southren, Daniel L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2015 |
| Last updated | Dec 8th, 2025 - about last year |
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 | 1144600073 | NPPES |
| Massachusetts | MEDICAID | 110152585A |
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