Daniels, Marc B

Daniels, Marc B is an individual health care provider with primary practice located at 40 Airport Rd Ste 1, Waterville ME 04901-4501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Daniels, Marc B can be contacted via phone (207) 873-6048.

Contact Information

Primary practice address
40 Airport Rd Ste 1 Waterville ME 04901-4501
Phone: (207) 873-6048
Fax: (207) 877-9513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 013833 Maine

Profile Details

NPI number 1578560918
LBN Legal business name Daniels, Marc B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jan 16th, 2008 - about 17 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 1578560918 NPPES
Maine Other 010543747 COMMERCIAL
Maine Other 042733 COMMERCIAL
Maine Other 2590268 COMMERCIAL
Maine Other 4693439003 COMMERCIAL
Maine MEDICAID 291100099 COMMERCIAL
Maine Other 180043171 COMMERCIAL

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