Danielson, Guy O

Danielson, Guy O is an sole proprietor health care provider with primary practice located at 1814 Roseland Blvd Suite 200, Tyler TX 75701-4244. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Danielson, Guy O can be contacted via phone (903) 595-8077.

Contact Information

Primary practice address
1814 Roseland Blvd Suite 200 Tyler TX 75701-4244
Phone: (903) 595-8077
Fax: (903) 363-1541
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X E7042 Texas

Profile Details

NPI number 1801905674
LBN Legal business name Danielson, Guy O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Feb 2nd, 2016 - about 8 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 1801905674 NPPES
Texas MEDICAID 137457111
Texas Other 8K6370

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