Surdam, Daniel E

Surdam, Daniel E is an individual health care provider with primary practice located at 214 E 23Rd St , Cheyenne WY 82001-3748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Surdam, Daniel E can be contacted via phone (307) 634-2273.

Contact Information

Primary practice address
214 E 23Rd St Cheyenne WY 82001-3748
Phone: (307) 634-2273
Fax: (307) 633-7671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 7206A Wyoming

Profile Details

NPI number 1184697666
LBN Legal business name Surdam, Daniel E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated May 11th, 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 1184697666 NPPES
Wyoming MEDICAID 121739900

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