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Contact Information

SUHREI ACEVEDO DANIELS, MD
150 2ND ST
MELBA, ID83641-5199
 Phone: 208-495-1011
 Fax: 208-495-1012
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SUHREI ACEVEDO DANIELS · (Female)

NPI Number 1508824640
Status Active
Credentials MD
Entity Individual
Enumeration date 05/01/2006
Last updated 01/08/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-11831
  • ID Medicaid 1215106695
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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