Danielson, Kenneth S.
Danielson, Kenneth S. is an individual health care provider with primary practice located at 1290 Hospital Dr , St Johnsbury VT 05819-9205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Danielson, Kenneth S. can be contacted via phone (802) 748-2984.Contact Information
Primary practice address
1290 Hospital Dr
St Johnsbury VT 05819-9205
Phone: (802) 748-2984
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0420006525 | Vermont |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 5957 | New Hampshire |
Profile Details
| NPI number | 1720037252 |
|---|---|
| LBN Legal business name | Danielson, Kenneth S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Mar 6th, 2020 - about 5 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 | 1720037252 | NPPES |
| New Hampshire | MEDICAID | 3080079 | |
| New Hampshire | MEDICAID | 0005741 |
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