Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | DB055806 | MI |
Y | 207XS0106X | Orthopaedic Hand Surgeon | G86952 | CA |
NPI | 1265433254 |
---|---|
Provider Name | Dr. Daniel P Birkbeck |
First Address | Napa, CA 94558-3306 |
Second Address | Napa, CA 94558-3306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2005 |
Last Update Date | 17/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
32697515 | (05) | MI |
5438181 | AETNA (01) | MI |
DB055806 | BCBS LICENSE (01) | MI |
G38164 | (02) | |
P92231 | BLUE CARE NETWORK (01) | MI |