Danielson, Stanton L

Danielson, Stanton L is an individual health care provider with primary practice located at 2720 8Th St Sw , Altoona IA 50009-1028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Danielson, Stanton L can be contacted via phone (515) 967-0133.

Contact Information

Primary practice address
2720 8Th St Sw Altoona IA 50009-1028
Fax: (515) 967-7578
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20683 Iowa

Profile Details

NPI number 1629038195
LBN Legal business name Danielson, Stanton L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Aug 15th, 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 1629038195 NPPES
Iowa MEDICAID 3161448
Iowa MEDICAID 1629038195

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