Davis, Daniel Alyn

Davis, Daniel Alyn is an individual health care provider with primary practice located at 5120 Masthead St Ne , Albuquerque NM 87109-4366. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Davis, Daniel Alyn can be contacted via phone (505) 948-8975.

Contact Information

Primary practice address
5120 Masthead St Ne Albuquerque NM 87109-4366
Phone: (505) 948-8975
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD-2011-0809 New Mexico

Profile Details

NPI number 1366539413
LBN Legal business name Davis, Daniel Alyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2006
Last updated Dec 13th, 2023 - about 3 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 1366539413 NPPES
Arkansas MEDICAID 150259001
Arkansas Other P00052697

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