West, Dan C

West, Dan C is an individual health care provider with primary practice located at 605 N Westover Blvd , Albany GA 31707-2188. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. West, Dan C can be contacted via phone (229) 434-4200.

Contact Information

Primary practice address
605 N Westover Blvd Albany GA 31707-2188
Phone: (229) 434-4200
Fax: (229) 434-4208
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 002612 Georgia

Profile Details

NPI number 1124015748
LBN Legal business name West, Dan C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Jun 2nd, 2016 - about 10 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 1124015748 NPPES
Georgia MEDICAID 100000492A

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