Heithold, Daniel Lee

Heithold, Daniel Lee is an individual health care provider with primary practice located at 721 Glenwood Drive Suite W-462, Chattanooga TN 37421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Heithold, Daniel Lee can be contacted via phone (423) 362-4554.

Contact Information

Primary practice address
721 Glenwood Drive Suite W-462 Chattanooga TN 37421
Phone: (423) 362-4554
Fax: (423) 362-4550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 43386 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X 043386 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X 30153 Tennessee

Profile Details

NPI number 1588664106
LBN Legal business name Heithold, Daniel Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Aug 15th, 2018 - about 6 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 1588664106 NPPES
Tennessee Other 3824599 MEDICARE
Tennessee MEDICAID 000796595C MEDICARE

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