Daniels, Mikel D

Daniels, Mikel D is an individual health care provider with primary practice located at 20 Crossroads Dr Ste 14, Owings Mills MD 21117-5479. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Daniels, Mikel D can be contacted via phone (410) 363-4343.

Contact Information

Primary practice address
20 Crossroads Dr Ste 14 Owings Mills MD 21117-5479
Phone: (410) 363-4343
Fax: (410) 356-6373
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X MD01353 Maryland
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X MD01353 Maryland

Profile Details

NPI number 1730185091
LBN Legal business name Daniels, Mikel D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Mar 18th, 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 1730185091 NPPES
Maryland MEDICAID 404420700405429600

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