Mr. Charles E Danielson
Pediatrician Adolescent Medicine
159 Silver St
Waterville
, Maine 04901-5813
Mr. Charles E Danielson
Pediatrician Adolescent Medicine
159 Silver St
Waterville
, Maine 04901-5813
(207) 861-5448
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Mr. Charles E Danielson
- 159 Silver St
- Waterville, ME
- Zip : 04901-5813
- Fax : (207) 861-5448
- Phone : (207) 873-5437
Second Address
- Mr. Charles E Danielson
- 159 Silver St
- Waterville, ME
- Zip : 04901-5813
- Fax : (207) 861-5448
- Phone : (207) 873-5437
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Is Mr. Charles E Danielson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 009473 | ME |
| N | 2080A0000X | Adolescent Medicine | 009473 | ME |
National Provider Identifier
| NPI | 1073517819 |
|---|---|
| Provider Name | Mr. Charles E Danielson |
| First Address | Waterville, ME 04901-5813 |
| Second Address | Waterville, ME 04901-5813 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2005 |
| Last Update Date | 23/01/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 288110099 | (05) | ME |
| E11860 | (02) | ME |
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.