Cosgro, Daniel Thomas

Cosgro, Daniel Thomas is an sole proprietor health care provider with primary practice located at 2275 Ne Doctors Dr Ste 6 , Bend OR 97701-6092. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Cosgro, Daniel Thomas can be contacted via phone (541) 706-6915.

Contact Information

Primary practice address
2275 Ne Doctors Dr Ste 6 Bend OR 97701-6092
Phone: (541) 706-6915
Fax: (541) 706-6733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA00492 Oregon

Profile Details

NPI number 1972588572
LBN Legal business name Cosgro, Daniel Thomas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2005
Last updated Mar 17th, 2021 - about 4 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 1972588572 NPPES
Oregon Other 00492 PROFESSIONAL LICENSE NUMBER

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