Coverdell, Daniel John
Coverdell, Daniel John is an individual health care provider with primary practice located at 11470 Business Blvd Suite 100, Eagle River AK 99577-7721. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Coverdell, Daniel John can be contacted via phone (907) 622-4325.Contact Information
Primary practice address
11470 Business Blvd Suite 100
Eagle River AK 99577-7721
Phone: (907) 622-4325
Fax: (907) 622-4326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 4780 | Alaska |
Profile Details
| NPI number | 1609936004 |
|---|---|
| LBN Legal business name | Coverdell, Daniel John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1609936004 | NPPES |
| Alaska | MEDICAID | MD63211 | |
| Alaska | MEDICAID | MD6231 | |
| Alaska | Other | 4780 |
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