Daniel S. Krcelic
Vascular Surgeon
980 Highway 28 Ste 102
Jasper
, Tennessee 37347-3696
Daniel S. Krcelic
Vascular Surgeon
980 Highway 28 Ste 102
Jasper
, Tennessee 37347-3696
(423) 602-2762
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Daniel S. Krcelic
- 2358 Lifestyle Way Ste 100
- Chattanooga, TN
- Zip : 37421-4907
- Fax : (423) 602-2762
- Phone : (423) 602-2750
Second Address
- Daniel S. Krcelic
- 980 Highway 28 Ste 102
- Jasper, TN
- Zip : 37347-3696
- Fax : (423) 602-2762
- Phone : (423) 602-2750
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 59339 | TN |
National Provider Identifier
| NPI | 1114289774 |
|---|---|
| Provider Name | Daniel S. Krcelic |
| First Address | Chattanooga, TN 37421-4907 |
| Second Address | Jasper, TN 37347-3696 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2012 |
| Last Update Date | 04/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.