King, Daniel Carleton

King, Daniel Carleton is an individual health care provider with primary practice located at 2141 N Beverly Ave Ste 101, Tucson AZ 85712-2155. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. King, Daniel Carleton can be contacted via phone (520) 838-0777.

Contact Information

Primary practice address
2141 N Beverly Ave Ste 101 Tucson AZ 85712-2155
Fax: (520) 838-0669
Website:

Profile Details

NPI number 1720075211
LBN Legal business name King, Daniel Carleton
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Feb 2nd, 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 1720075211 NPPES
Arkansas MEDICAID 230799

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