Ross, Daniel Wayne

Ross, Daniel Wayne is an sole proprietor health care provider with primary practice located at 1408 Lake Ridge Sq , Johnson City TN 37601-7407. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Ross, Daniel Wayne can be contacted via phone (423) 782-6848.

Contact Information

Primary practice address
1408 Lake Ridge Sq Johnson City TN 37601-7407
Phone: (423) 782-6848
Fax: (423) 283-4797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD0000037770 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 37770 Tennessee

Profile Details

NPI number 1538163506
LBN Legal business name Ross, Daniel Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2005
Last updated Oct 9th, 2018 - about 6 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 1538163506 NPPES
Virginia MEDICAID 1538163506
Virginia MEDICAID 3890168
Virginia MEDICAID 1515615

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