Stewart, Daniel Elliott

Stewart, Daniel Elliott is an individual health care provider with primary practice located at 1717 Shaffer St Suite 108, Kalamazoo MI 49048-1647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Stewart, Daniel Elliott can be contacted via phone (269) 343-9113.

Contact Information

Primary practice address
1717 Shaffer St Suite 108 Kalamazoo MI 49048-1647
Phone: (269) 343-9113
Fax: (269) 343-0510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301050382 Michigan

Profile Details

NPI number 1114978426
LBN Legal business name Stewart, Daniel Elliott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Oct 2nd, 2009 - about 15 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 1114978426 NPPES
Michigan MEDICAID 2657293
Michigan Other 0203917021

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