Mcdaniel, Joseph Andrew

Mcdaniel, Joseph Andrew is an individual health care provider with primary practice located at 720 14Th Ave , Longview WA 98632-2315. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mcdaniel, Joseph Andrew can be contacted via phone (360) 423-0203.

Contact Information

Primary practice address
720 14Th Ave Longview WA 98632-2315
Fax: (360) 577-0269
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X RC00017695 Washington

Profile Details

NPI number 1861551012
LBN Legal business name Mcdaniel, Joseph Andrew
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Nov 7th, 2019 - about 5 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 1861551012 NPPES
Washington MEDICAID 2103074

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