Threat, Daniel T

Threat, Daniel T is an sole proprietor health care provider with primary practice located at 4619 Gregorys Charter Ct , Richmond VA 23236-1062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Threat, Daniel T can be contacted via phone (804) 379-5488.

Contact Information

Primary practice address
4619 Gregorys Charter Ct Richmond VA 23236-1062
Fax: (804) 379-5586
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 0101054629 Virginia

Profile Details

NPI number 1225103567
LBN Legal business name Threat, Daniel T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2006
Last updated Jul 9th, 2007 - about 17 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 1225103567 NPPES
Virginia MEDICAID 005867100

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