Hertel, Daniel P

Hertel, Daniel P is an individual health care provider with primary practice located at 2845 Greenbrier Rd , Green Bay WI 54311-6519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Hertel, Daniel P can be contacted via phone (920) 288-8100.

Contact Information

Primary practice address
2845 Greenbrier Rd Green Bay WI 54311-6519
Fax: (920) 288-8462
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 69868 Wisconsin

Profile Details

NPI number 1285047373
LBN Legal business name Hertel, Daniel P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2014
Last updated Nov 24th, 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 1285047373 NPPES
Wisconsin MEDICAID 100080603

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