Dan, Dan

Dan, Dan is an individual health care provider with primary practice located at 4403 Harrison Blvd Ste 3450 , Ogden UT 84403. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Dan, Dan can be contacted via phone (801) 387-3850.

Contact Information

Primary practice address
4403 Harrison Blvd Ste 3450 Ogden UT 84403
Phone: (801) 387-3850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 039084 Georgia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 039084 Georgia

Profile Details

NPI number 1326043472
LBN Legal business name Dan, Dan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Sep 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326043472 NPPES
Georgia MEDICAID 000907288NOPRSTUVWXY

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