Individual
DANIEL WILLIAM ENTRIKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1331 N ELM ST STE 200, GREENSBORO, NC 27401-6304
(336) 274-6682
(336) 274-8097
Mailing address
PO BOX 85378, CHICAGO, IL 60689-5378
(336) 274-6682
(336) 274-8097
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
2004-00851
NC
2085R0202X
Diagnostic Radiology Physician
Primary
200400851
NC
2085R0204X
Vascular & Interventional Radiology Physician
2004-00851
NC
2085U0001X
Diagnostic Ultrasound Physician
2004-00851
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140W7
BCBS
—
01
—
190036
MEDCOST
—
05
—
1942239645
—
VA
05
—
3810007203
—
WV
05
—
5901955
—
NC
01
—
7211787
AETNA
—
01
—
807299
PARTNERS
—
05
—
Q0085G
—
SC
Enumeration date
07/03/2006
Last updated
10/03/2025
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