Viders, Daniel Evan
Viders, Daniel Evan is an individual health care provider with primary practice located at 207 Southbridge St , Auburn MA 01501-2548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Viders, Daniel Evan can be contacted via phone (508) 832-7118.Contact Information
Primary practice address
207 Southbridge St
Auburn MA 01501-2548
Phone: (508) 832-7118
Fax: (508) 832-4758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 042219 | Connecticut |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 11477 | Rhode Island |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 75666 | Massachusetts |
Profile Details
| NPI number | 1558354407 |
|---|---|
| LBN Legal business name | Viders, Daniel Evan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Nov 28th, 2023 - about last year |
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 | 1558354407 | NPPES |
| Massachusetts | Other | 043158835 | COMMERCIAL |
| Massachusetts | Other | J12248 | COMMERCIAL |
| Massachusetts | Other | 001422196 | COMMERCIAL |
| Massachusetts | Other | 997001 | COMMERCIAL |
| Massachusetts | Other | P1705911 | COMMERCIAL |
| Massachusetts | Other | 00142219600 | COMMERCIAL |
| Massachusetts | Other | 010075666M02 | COMMERCIAL |
| Massachusetts | Other | 000000028685 | COMMERCIAL |
| Massachusetts | Other | 0303009 | COMMERCIAL |
| Massachusetts | Other | 075666 | COMMERCIAL |
| Massachusetts | Other | 010042219CT02 | COMMERCIAL |
| Massachusetts | Other | 17462 | COMMERCIAL |
| Massachusetts | MEDICAID | 3092917 | COMMERCIAL |
| Massachusetts | Other | 2V2311 | COMMERCIAL |
| Massachusetts | Other | 4294 | COMMERCIAL |
| Massachusetts | Other | 620067 | COMMERCIAL |
| Massachusetts | Other | 758835 | COMMERCIAL |
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