Traub, Daniel Joseph
Traub, Daniel Joseph is an individual health care provider with primary practice located at 131 Johnson Rd Suite 3 , Portland ME 04102. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Traub, Daniel Joseph can be contacted via phone (207) 774-2611.Contact Information
Primary practice address
131 Johnson Rd Suite 3
Portland ME 04102
Phone: (207) 774-2611
Fax: (207) 774-2613
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 007583 | Connecticut |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DD-1541 | New Mexico |
Profile Details
NPI number | 1871571711 |
---|---|
LBN Legal business name | Traub, Daniel Joseph |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 1st, 2006 |
Last updated | Apr 24th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871571711 | NPPES |
Connecticut | MEDICAID | 88773 | |
Connecticut | MEDICAID | 88773 |
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