Van Tassel, Dane

Van Tassel, Dane is an individual health care provider with primary practice located at 2929 E Thomas Rd , Phoenix AZ 85016. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Van Tassel, Dane can be contacted via phone (602) 470-5000.

Contact Information

Primary practice address
2929 E Thomas Rd Phoenix AZ 85016
Phone: (602) 470-5000
Fax: (602) 933-1214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R73452 Arizona
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 48187 Arizona
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 48187 Arizona

Profile Details

NPI number 1376805044
LBN Legal business name Van Tassel, Dane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2012
Last updated Sep 6th, 2018 - about 7 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 1376805044 NPPES
Arizona Other R73452 TRAINING PERMIT

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