Individual
DANIEL BAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
100 VALLEY CENTER RD, WILMINGTON, DE 19808-2950
(302) 994-1200
(302) 994-1233
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
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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