Daniell, Jon

Daniell, Jon is an individual health care provider with primary practice located at 100 Hillcrest Medical Blvd , Waco TX 76712-8897. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Daniell, Jon can be contacted via phone (254) 202-5800.

Contact Information

Primary practice address
100 Hillcrest Medical Blvd Waco TX 76712-8897
Phone: (254) 202-5800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X TBXK9761 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X K9761 Texas

Profile Details

NPI number 1265544217
LBN Legal business name Daniell, Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 11th, 2015 - about 9 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 1265544217 NPPES
Texas Other 930104296 RRMCR
Texas Other 8C0340 RRMCR
Texas MEDICAID 043877202 RRMCR

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