Modarelli, Daniel Christopher

Modarelli, Daniel Christopher is an individual health care provider with primary practice located at 7580 Auburn Road Suite 202, Concord Twp OH 44077-9406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Modarelli, Daniel Christopher can be contacted via phone (440) 352-0400.

Contact Information

Primary practice address
7580 Auburn Road Suite 202 Concord Twp OH 44077-9406
Phone: (440) 352-0400
Fax: (440) 352-4535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34-006969 Ohio

Profile Details

NPI number 1033179791
LBN Legal business name Modarelli, Daniel Christopher
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Feb 25th, 2021 - about 3 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 1033179791 NPPES
Ohio Other 264200000 FEDERAL BLACK LUNG
Ohio Other 000000339418 FEDERAL BLACK LUNG
Ohio MEDICAID 2109444 FEDERAL BLACK LUNG
Ohio Other 6600162 FEDERAL BLACK LUNG
Ohio Other 264200000 FEDERAL BLACK LUNG
Ohio Other 80507 FEDERAL BLACK LUNG

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