Blizzard, Daniel John
Blizzard, Daniel John is an sole proprietor health care provider with primary practice located at 1641 E Polston Ave Ste 101 , Post Falls ID 83854-7852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Blizzard, Daniel John can be contacted via phone (208) 457-4208.Contact Information
Primary practice address
1641 E Polston Ave Ste 101
Post Falls ID 83854-7852
Phone: (208) 457-4208
Fax: (208) 457-4197
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | MD60825859 | Washington |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 73555 | Georgia |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | M-14130 | Idaho |
Profile Details
| NPI number | 1871850727 |
|---|---|
| LBN Legal business name | Blizzard, Daniel John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2012 |
| Last updated | Jan 28th, 2021 - about 3 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 | 1871850727 | NPPES |
| Idaho | MEDICAID | 1871850727 |
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