Danilson, Matthew D
Danilson, Matthew D is an individual health care provider with primary practice located at 2700 1St Ave S Ste 100 , Fort Dodge IA 50501-4300. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Danilson, Matthew D can be contacted via phone (515) 576-8581.Contact Information
Primary practice address
2700 1St Ave S Ste 100
Fort Dodge IA 50501-4300
Phone: (515) 576-8581
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1112 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 002044 | Iowa |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2199 | Wisconsin |
Profile Details
| NPI number | 1669669628 |
|---|---|
| LBN Legal business name | Danilson, Matthew D |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2007 |
| Last updated | Jan 26th, 2024 - about last year |
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 | 1669669628 | NPPES |
| Other | 1079661 | NCCPA |
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