Daniels, Mathias Wayne

Daniels, Mathias Wayne is an individual health care provider with primary practice located at 65 Neilson St , Watsonville CA 95076-2491. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Daniels, Mathias Wayne can be contacted via phone (831) 763-6049.

Contact Information

Primary practice address
65 Neilson St Watsonville CA 95076-2491
Phone: (831) 763-6049
Fax: (831) 768-6289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X MD60272416 Washington
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X A126857 California

Profile Details

NPI number 1255599015
LBN Legal business name Daniels, Mathias Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated Apr 29th, 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 1255599015 NPPES
Washington MEDICAID 1255599015
Washington Other 0294301

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