National Provider Identifier

Daniel James Baetzhold

Daniel James Baetzhold is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 829-2802.

NPI 1770387722Buffalo, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1770387722
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 01, 2025
Last Updated
April 01, 2025

Practice Location

  • 955 Main St
  • Buffalo, NY 14203-1121

Phone: (716) 829-2802

Mailing Address

  • 818 Auburn Ave Lowr
  • Buffalo, NY 14222-1419

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1770387722
Entity Type
Individual
Last Name
Baetzhold
First Name
Daniel
Middle Name
James
Mailing Street Address
818 Auburn Ave Lowr
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14222-1419
Mailing Country
US
Mailing Phone
(716) 574-1491
Practice Street Address
955 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1121
Practice Country
US
Practice Phone
(716) 829-2802
Enumeration Date
April 01, 2025
Last Updated
April 01, 2025
Sex
Male
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
April 01, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)