Holbert, Daniel Vernon

Holbert, Daniel Vernon is an individual health care provider with primary practice located at 19020 33Rd Ave W Ste 210 , Lynnwood WA 98036-4748. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Holbert, Daniel Vernon can be contacted via phone (425) 563-1500.

Contact Information

Primary practice address
19020 33Rd Ave W Ste 210 Lynnwood WA 98036-4748
Phone: (425) 563-1500
Fax: (425) 563-1501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD60025847 Washington
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X M-12278 Idaho
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M-12278 Idaho
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD60025847 Washington

Profile Details

NPI number 1750527743
LBN Legal business name Holbert, Daniel Vernon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2008
Last updated Nov 5th, 2019 - about 5 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 1750527743 NPPES
Idaho MEDICAID 1750527743
Idaho Other 0404518
Idaho Other 0310078
Idaho MEDICAID 2022757
Idaho Other 0310079
Idaho MEDICAID 1750527743
Idaho Other 0310080
Idaho Other 0378809

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