O'Roark, Daniel M

O'Roark, Daniel M is an individual health care provider with primary practice located at 701 N State Of Franklin Rd Ste 9, Johnson City TN 37604-3645. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. O'Roark, Daniel M can be contacted via phone (423) 926-4468.

Contact Information

Primary practice address
701 N State Of Franklin Rd Ste 9 Johnson City TN 37604-3645
Phone: (423) 926-4468
Fax: (423) 928-4838
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1720 Tennessee
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0102201788 Virginia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X OS006046E Pennsylvania
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 1720 Tennessee

Profile Details

NPI number 1740216910
LBN Legal business name O'Roark, Daniel M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Nov 22nd, 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 1740216910 NPPES
Kentucky MEDICAID 64108509
Kentucky MEDICAID 1740216910
Kentucky MEDICAID 3319525
Kentucky Other 621112685

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