Danielson, Nathan B

Danielson, Nathan B is an individual health care provider with primary practice located at 1990 Connecticut Ave S , Sartell MN 56377-2554. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Danielson, Nathan B can be contacted via phone (320) 257-7787.

Contact Information

Primary practice address
1990 Connecticut Ave S Sartell MN 56377-2554
Phone: (320) 257-7787
Fax: (320) 257-5596
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5101017750 Michigan
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 106949 Minnesota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 56849 Minnesota

Profile Details

NPI number 1467761130
LBN Legal business name Danielson, Nathan B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2010
Last updated Aug 12th, 2014 - about 10 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 1467761130 NPPES
Minnesota MEDICAID 1467761130

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