Ross, Daniel I

Ross, Daniel I is an individual health care provider with primary practice located at 1739 W Fairmont St , Allentown PA 18104-3189. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ross, Daniel I can be contacted via phone (610) 437-4988.

Contact Information

Primary practice address
1739 W Fairmont St Allentown PA 18104-3189
Fax: (610) 437-4176
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD036147E Pennsylvania

Profile Details

NPI number 1609876994
LBN Legal business name Ross, Daniel I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Nov 12th, 2018 - about 7 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 1609876994 NPPES
Pennsylvania MEDICAID 0011667460003

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