Daniels, Dennis Edwards
Daniels, Dennis Edwards is an sole proprietor health care provider with primary practice located at 1906A Greenwood Dr , Poplar Bluff MO 63901-2430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Daniels, Dennis Edwards can be contacted via phone (573) 778-5913.Contact Information
Primary practice address
1906A Greenwood Dr
Poplar Bluff MO 63901-2430
Phone: (573) 778-5913
Fax: (573) 776-7750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 2003009194 | Missouri |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 26336 | West Virginia |
Profile Details
| NPI number | 1265404222 |
|---|---|
| LBN Legal business name | Daniels, Dennis Edwards |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Dec 28th, 2017 - about 7 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 | 1265404222 | NPPES |
| Missouri | MEDICAID | 209073204 |
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