Stewart, Dane Haden

Stewart, Dane Haden is an individual health care provider with primary practice located at 1800 E Pavilion Pl Unit B , Montrose CO 81401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Stewart, Dane Haden can be contacted via phone (970) 249-1210.

Contact Information

Primary practice address
1800 E Pavilion Pl Unit B Montrose CO 81401
Phone: (970) 249-1210
Fax: (970) 249-3057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MT207872 Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X DR.0059786 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R74549 Arizona

Profile Details

NPI number 1205253408
LBN Legal business name Stewart, Dane Haden
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2014
Last updated Apr 4th, 2019 - about 7 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 1205253408 NPPES
Virginia MEDICAID 1205253408

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