Waddell, Daniel Patrick

Waddell, Daniel Patrick is an sole proprietor health care provider with primary practice located at 525 W Swannanoa Ave , Liberty NC 27298-3136. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Waddell, Daniel Patrick can be contacted via phone (336) 622-4850.

Contact Information

Primary practice address
525 W Swannanoa Ave Liberty NC 27298-3136
Phone: (336) 622-4850
Fax: (336) 622-4855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001012527 North Carolina

Profile Details

NPI number 1427628098
LBN Legal business name Waddell, Daniel Patrick
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2021
Last updated Oct 25th, 2022 - about 4 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 1427628098 NPPES
North Carolina MEDICAID 1427628098

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