Axthelm, Dan Alan
Axthelm, Dan Alan is an sole proprietor health care provider with primary practice located at 7100 Oakmont Blvd Ste 107, Fort Worth TX 76132-3911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Axthelm, Dan Alan can be contacted via phone (817) 764-1894.Contact Information
Primary practice address
7100 Oakmont Blvd Ste 107
Fort Worth TX 76132-3911
Phone: (817) 764-1894
Fax: (817) 346-7545
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | H3439 | Texas |
Profile Details
| NPI number | 1417905225 |
|---|---|
| LBN Legal business name | Axthelm, Dan Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | Jun 5th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417905225 | NPPES |
| Texas | MEDICAID | POOD7434 |
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