Reidman, Daniel Anthony

Reidman, Daniel Anthony is an sole proprietor health care provider with primary practice located at 324 Gannett Dr Ste 200 , South Portland ME 04106-3266. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Reidman, Daniel Anthony can be contacted via phone (803) 803-7538.

Contact Information

Primary practice address
324 Gannett Dr Ste 200 South Portland ME 04106-3266
Phone: (803) 803-7538
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 058309 Georgia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X OP00001889 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 1011 South Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X DO2667 Maine

Profile Details

NPI number 1710080031
LBN Legal business name Reidman, Daniel Anthony
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2006
Last updated Aug 9th, 2022 - about 2 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 1710080031 NPPES
South Carolina MEDICAID 010115

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