Danielson, Dirk H.

Danielson, Dirk H. is an individual health care provider with primary practice located at 801Goodyear Blvd. , Picayune MS 39466-3221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Danielson, Dirk H. can be contacted via phone (601) 452-9690.

Contact Information

Primary practice address
801Goodyear Blvd. Picayune MS 39466-3221
Phone: (601) 452-9690
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 13167 Mississippi

Profile Details

NPI number 1104869353
LBN Legal business name Danielson, Dirk H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 6th, 2010 - about 14 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 1104869353 NPPES
Mississippi Other P00388803 RAILROAD MCARE THRU IHS
Mississippi Other P00806413 RAILROAD MCARE THRU IHS
Mississippi MEDICAID 00125003 RAILROAD MCARE THRU IHS

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