Perrault, Daniel

Perrault, Daniel is an individual health care provider with primary practice located at 225 Memorial Dr , Berlin WI 54923-1243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Perrault, Daniel can be contacted via phone (920) 361-5525.

Contact Information

Primary practice address
225 Memorial Dr Berlin WI 54923-1243
Fax: (920) 361-5925
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 39131-020 Wisconsin

Profile Details

NPI number 1790777423
LBN Legal business name Perrault, Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jun 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 1790777423 NPPES
Wisconsin MEDICAID 32608800

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