Duelm, Daniel L

Duelm, Daniel L is an individual health care provider with primary practice located at 633 Emerson Rd Ste 20 , Creve Coeur MO 63141-6739. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Duelm, Daniel L can be contacted via phone (314) 325-3068.

Contact Information

Primary practice address
633 Emerson Rd Ste 20 Creve Coeur MO 63141-6739
Phone: (314) 325-3068
Fax: (314) 325-3069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2021038900 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110001116 Virginia

Profile Details

NPI number 1023099314
LBN Legal business name Duelm, Daniel L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Nov 11th, 2021 - 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 1023099314 NPPES
Virginia Other 970018319 RAIL ROAD MEDICARE PIN

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