Baran, Daniel

Baran, Daniel is an individual health care provider with primary practice located at 2108 63Rd St , Kenosha WI 53143-4454. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Baran, Daniel can be contacted via phone (262) 652-2406.

Contact Information

Primary practice address
2108 63Rd St Kenosha WI 53143-4454
Phone: (262) 652-2406
Fax: (262) 652-2408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 928 Wisconsin

Profile Details

NPI number 1861504805
LBN Legal business name Baran, Daniel
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 30th, 2008 - about 16 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 1861504805 NPPES
Wisconsin MEDICAID 39314800

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