Ivan, Daniel L

Ivan, Daniel L is an individual health care provider with primary practice located at 6431 Fannin St Jjl 495, Houston TX 77030-1501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ivan, Daniel L can be contacted via phone (713) 500-5666.

Contact Information

Primary practice address
6431 Fannin St Jjl 495 Houston TX 77030-1501
Phone: (713) 500-5666
Fax: (713) 500-0527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X N6380 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301078858 Michigan

Profile Details

NPI number 1487628905
LBN Legal business name Ivan, Daniel L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Mar 14th, 2012 - about 13 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 1487628905 NPPES
Michigan MEDICAID 4609698

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