Anderson, Daniel Richard

Anderson, Daniel Richard is an individual health care provider with primary practice located at 540 Hospital Dr , Winamac IN 46996-1173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Anderson, Daniel Richard can be contacted via phone (574) 946-2194.

Contact Information

Primary practice address
540 Hospital Dr Winamac IN 46996-1173
Phone: (574) 946-2194
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X LL28992 South Carolina

Profile Details

NPI number 1790813442
LBN Legal business name Anderson, Daniel Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Mar 13th, 2020 - about 5 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 1790813442 NPPES
Indiana MEDICAID 201204820

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