Individual
DANIEL BAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J100001507
DE
225100000X
Physical Therapist
PT011115L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0840574000
AMERIHEALTH IBC
—
05
—
1000037723
—
DE
01
—
11795675
CAQH
—
01
—
246555
MAMSI
—
01
—
5070-0009
CARE FIRST
—
01
—
619247601
NCA
—
01
—
745825
PABS
—
01
—
840574000
AMERIHEALTH
—
Enumeration date
06/13/2006
Last updated
03/04/2013
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