Danielson, Charles E

Danielson, Charles E is an individual health care provider with primary practice located at 159 Silver St , Waterville ME 04901-5813. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Danielson, Charles E can be contacted via phone (207) 873-5437.

Contact Information

Primary practice address
159 Silver St Waterville ME 04901-5813
Phone: (207) 873-5437
Fax: (207) 861-5448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 009473 Maine
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 009473 Maine

Profile Details

NPI number 1073517819
LBN Legal business name Danielson, Charles E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jan 23rd, 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 1073517819 NPPES
Maine MEDICAID 288110099

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