Gandy, Daniel R

Gandy, Daniel R is an individual health care provider with primary practice located at 1660 Sycamore Rd Suit C, Montoursville PA 17754-9314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Gandy, Daniel R can be contacted via phone (570) 326-8080.

Contact Information

Primary practice address
1660 Sycamore Rd Suit C Montoursville PA 17754-9314
Fax: (570) 326-2733
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X OS 003541L Pennsylvania

Profile Details

NPI number 1366427205
LBN Legal business name Gandy, Daniel R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Sep 20th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366427205 NPPES
Pennsylvania MEDICAID 00998293

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