Wendelin, Daniel

Wendelin, Daniel is an individual health care provider with primary practice located at 2811 Klempner Way , Louisville KY 40205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Wendelin, Daniel can be contacted via phone (502) 896-6355.

Contact Information

Primary practice address
2811 Klempner Way Louisville KY 40205
Phone: (502) 896-6355
Fax: (502) 896-9813
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 37630 Kentucky
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 37630 Kentucky

Profile Details

NPI number 1306934534
LBN Legal business name Wendelin, Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jun 9th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306934534 NPPES
Kentucky Other 2443573000 PASSPORT ADVANTAGE
Kentucky Other 50002034 PASSPORT ADVANTAGE
Kentucky MEDICAID 64060932-00 PASSPORT ADVANTAGE

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