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Contact Information

JOHN R DANIELSON, MD
8053 CLEVELAND PL
MERRILLVILLE, IN46410-5303
 Phone: 219-769-4456
 Fax: 219-769-1468
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN R DANIELSON · (Male)

NPI Number 1104966720
Status Active
Credentials MD
Entity Individual
Enumeration date 02/06/2007
Last updated 07/03/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01034603
  • IN License # 01034603A
  • IN Medicaid 100201750A
  • Other 000000095467 ANTHEM
  • IN Other 240000555 RAILROAD MEDICARE
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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