Redifer, Daniel Grant
Redifer, Daniel Grant is an individual health care provider with primary practice located at 1Mrb 555341 , Camp Pendleton CA 92055. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Redifer, Daniel Grant can be contacted via phone (760) 725-5298.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1205487212 |
|---|---|
| LBN Legal business name | Redifer, Daniel Grant |
| Credentials | SOIDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2019 |
| Last updated | Sep 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205487212 | NPPES |
| Other | 1397071622 | USN |
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