Painter, Daniel Clark

Painter, Daniel Clark is an individual health care provider with primary practice located at 1340 Charles St Suite 100, Rockford IL 61104-2200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Painter, Daniel Clark can be contacted via phone (779) 696-1900.

Contact Information

Primary practice address
1340 Charles St Suite 100 Rockford IL 61104-2200
Phone: (779) 696-1900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 125063061 Illinois
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036142035 Illinois

Profile Details

NPI number 1326486895
LBN Legal business name Painter, Daniel Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2013
Last updated Mar 1st, 2021 - 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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