Daniels, Robert A.

Daniels, Robert A. is an sole proprietor health care provider with primary practice located at 1398 Los Osos Valley Rd Suite D, Los Osos CA 93402-3342. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Daniels, Robert A. can be contacted via phone (805) 528-7643.

Contact Information

Primary practice address
1398 Los Osos Valley Rd Suite D Los Osos CA 93402-3342
Phone: (805) 528-7643
Fax: (805) 528-0232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E2039 California

Profile Details

NPI number 1063489532
LBN Legal business name Daniels, Robert A.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2006
Last updated Sep 5th, 2012 - about 12 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 1063489532 NPPES
California MEDICAID 000E20390
California MEDICAID 00E20391

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