Diver, Daniel
Diver, Daniel is an individual health care provider with primary practice located at 114 Woodland St , Hartford CT 06105-1208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Diver, Daniel can be contacted via phone (860) 714-4161.Contact Information
Primary practice address
114 Woodland St
Hartford CT 06105-1208
Phone: (860) 714-4161
Fax: (860) 714-8311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 039031 | Connecticut |
Profile Details
| NPI number | 1346243474 |
|---|---|
| LBN Legal business name | Diver, Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Feb 24th, 2009 - about 15 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 | 1346243474 | NPPES |
| Connecticut | MEDICAID | 001390319 |
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