Kirse, Daniel Jeffrey

Kirse, Daniel Jeffrey is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as his primary health care specialty. Kirse, Daniel Jeffrey can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax: (336) 713-4580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 200200559 North Carolina

Profile Details

NPI number 1215911698
LBN Legal business name Kirse, Daniel Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Nov 15th, 2010 - about 14 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 1215911698 NPPES
Other 7494649 AETNA
Other 131FT AETNA
MEDICAID Q0055G AETNA
MEDICAID 6737161 AETNA
MEDICAID 89131FT AETNA
Other B7060 AETNA
MEDICAID 2005965000 AETNA
Other 49043 AETNA

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