Bishton, Daniel S
Bishton, Daniel S is an sole proprietor health care provider with primary practice located at 2200 Lake Ave Suite 260, Fort Wayne IN 46805-5397. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bishton, Daniel S can be contacted via phone (260) 424-0411.Contact Information
Primary practice address
2200 Lake Ave Suite 260
Fort Wayne IN 46805-5397
Phone: (260) 424-0411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34001383A | Indiana |
Profile Details
| NPI number | 1497758932 |
|---|---|
| LBN Legal business name | Bishton, Daniel S |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 28th, 2005 |
| Last updated | Aug 13th, 2013 - about 12 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 | 1497758932 | NPPES |
| Indiana | Other | 000000660153 | ANTHEM BCBS |
| Indiana | Other | 84585 | ANTHEM BCBS |
| Indiana | Other | 7362096 | ANTHEM BCBS |
| Indiana | Other | 061904000 | ANTHEM BCBS |
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