NPI 1285925537 · live from the CMS NPI Registry
Leroy Victor Danielson
Emergency Medicine in Machias, ME. National Provider Identifier 1285925537, active.
NPI record
| NPI | 1285925537 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 11 Hospital Dr, Machias, ME 04654 |
| Practice phone | 207-255-3356 |
| Mailing address | 14 Maine St # 44, Brunswick, ME 04011 |
| Enumerated | April 20, 2011 |
| Last updated | July 1, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | MD2014-0219 (NM) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Emergency Medicine primary | 207P00000X | MD21872 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.