Beaver, Daniel J

Beaver, Daniel J is an individual health care provider with primary practice located at 707 14Th St , Baraboo WI 53913-1539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Beaver, Daniel J can be contacted via phone (608) 356-1400.

Contact Information

Primary practice address
707 14Th St Baraboo WI 53913-1539
Phone: (608) 356-1400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 41564-020 Wisconsin

Profile Details

NPI number 1558340539
LBN Legal business name Beaver, Daniel J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 9th, 2007 - about 19 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 1558340539 NPPES
Wisconsin Other 70 DEANCARE PROV #
Wisconsin Other 1009390 DEANCARE PROV #
Wisconsin MEDICAID 31573300 DEANCARE PROV #

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