Jandreau, Daniel Joseph

Jandreau, Daniel Joseph is an individual health care provider with primary practice located at 43 Hatch Dr Suite 150, Caribou ME 04736-2161. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jandreau, Daniel Joseph can be contacted via phone (207) 498-2538.

Contact Information

Primary practice address
43 Hatch Dr Suite 150 Caribou ME 04736-2161
Fax: (207) 498-2539
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT821 Maine

Profile Details

NPI number 1649338708
LBN Legal business name Jandreau, Daniel Joseph
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated May 27th, 2015 - about 9 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 1649338708 NPPES
Maine Other 034715 ANTHEM
Maine MEDICAID 248620099 ANTHEM
Maine Other 410045668 ANTHEM

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