Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 35082979S | OH |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 33999 | SC |
NPI | 1164489761 |
---|---|
Provider Name | Daniel J Single |
First Address | Murrells Inlet, SC 29576-1209 |
Second Address | Murrells Inlet, SC 29576-5098 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 21/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2417905 | (05) | OH |
33999 | LICENSE (01) | SC |
339994 | (05) | SC |
H95572 | (02) | OH |