Daniels, Richard J

Daniels, Richard J is an individual health care provider with primary practice located at 719 W Hamilton Ave Suite C, Eau Claire WI 54701-6968. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Daniels, Richard J can be contacted via phone (715) 832-1044.

Contact Information

Primary practice address
719 W Hamilton Ave Suite C Eau Claire WI 54701-6968
Fax: (715) 832-0520
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 37705 Wisconsin

Profile Details

NPI number 1053369496
LBN Legal business name Daniels, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Dec 17th, 2021 - about 4 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 1053369496 NPPES
Wisconsin Other 45049 SECURITY HEALTH
Wisconsin Other HP27679 SECURITY HEALTH
Wisconsin Other 1700505 SECURITY HEALTH
Wisconsin Other 020031296 SECURITY HEALTH
Wisconsin MEDICAID 32223100 SECURITY HEALTH

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