Wilson, Daniel R

Wilson, Daniel R is an individual health care provider with primary practice located at 2695 Rocky Mountain Ave Suite 200, Loveland CO 80538-8702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Wilson, Daniel R can be contacted via phone (970) 495-8490.

Contact Information

Primary practice address
2695 Rocky Mountain Ave Suite 200 Loveland CO 80538-8702
Phone: (970) 495-8490
Fax: (970) 495-8499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 47301 Colorado

Profile Details

NPI number 1710926746
LBN Legal business name Wilson, Daniel R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Dec 28th, 2016 - about 8 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 1710926746 NPPES
Colorado MEDICAID 30029244

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