Gavin, Daniel James

Gavin, Daniel James is an individual health care provider with primary practice located at 911 Bypass Rd , Pikeville KY 41501-1602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Gavin, Daniel James can be contacted via phone (806) 430-3500.

Contact Information

Primary practice address
911 Bypass Rd Pikeville KY 41501-1602
Phone: (806) 430-3500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD37069 Tennessee

Profile Details

NPI number 1083650105
LBN Legal business name Gavin, Daniel James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jun 5th, 2024 - about 6 months 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 1083650105 NPPES
Tennessee Other 4123793 BCBS OF TENNESSEE
Tennessee MEDICAID 3882314 BCBS OF TENNESSEE
Tennessee Other P00317078 BCBS OF TENNESSEE

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