Ingram, Daniel Wayne

Ingram, Daniel Wayne is an individual health care provider with primary practice located at 4207 Lake Boone Trl , Raleigh NC 27607. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ingram, Daniel Wayne can be contacted via phone (919) 785-3400.

Contact Information

Primary practice address
4207 Lake Boone Trl Raleigh NC 27607
Phone: (919) 785-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 102777 North Carolina

Profile Details

NPI number 1750356192
LBN Legal business name Ingram, Daniel Wayne
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Mar 29th, 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 1750356192 NPPES
North Carolina MEDICAID 7910885

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