Hathaway, Daniel E

Hathaway, Daniel E is an individual health care provider with primary practice located at 401 Phalen Blvd Mail Stop 41103A, Saint Paul MN 55101-5302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Hathaway, Daniel E can be contacted via phone (651) 254-7800.

Contact Information

Primary practice address
401 Phalen Blvd Mail Stop 41103A Saint Paul MN 55101-5302
Fax: (651) 254-7806
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 20389 Minnesota
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 17329 Wisconsin

Profile Details

NPI number 1386618874
LBN Legal business name Hathaway, Daniel E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Aug 11th, 2015 - about 9 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 1386618874 NPPES
Minnesota MEDICAID 528877100

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