Daniels, John E

Daniels, John E is an individual health care provider with primary practice located at 201 N Mayfair Road , Wauwatosa WI 53226-4216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Daniels, John E can be contacted via phone (414) 771-8228.

Contact Information

Primary practice address
201 N Mayfair Road Wauwatosa WI 53226-4216
Fax: (414) 256-1902
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 42130 Wisconsin

Profile Details

NPI number 1821052705
LBN Legal business name Daniels, John E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Dec 2nd, 2010 - about 14 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 1821052705 NPPES
Wisconsin MEDICAID 34179000
Wisconsin Other P00059946

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