Daniels, Susan Marie
Daniels, Susan Marie is an individual health care provider with primary practice located at 280 W Kagy Blvd Ste G, Bozeman MT 59715-6056. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Daniels, Susan Marie can be contacted via phone (406) 522-5437.Contact Information
Primary practice address
280 W Kagy Blvd Ste G
Bozeman MT 59715-6056
Phone: (406) 522-5437
Fax: (406) 522-1536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 11251 | Montana |
Profile Details
| NPI number | 1700806510 |
|---|---|
| LBN Legal business name | Daniels, Susan Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Mar 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700806510 | NPPES |
| Minnesota | MEDICAID | 343698500 |
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