Provider Demographics
NPI:1750579843
Name:DANIEL G CADIGAN MD INC
Entity type:Organization
Organization Name:DANIEL G CADIGAN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:CADIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-732-1833
Mailing Address - Street 1:2861 E HARBOR RD
Mailing Address - Street 2:
Mailing Address - City:PORT CLINTON
Mailing Address - State:OH
Mailing Address - Zip Code:43452-2665
Mailing Address - Country:US
Mailing Address - Phone:419-732-1833
Mailing Address - Fax:419-732-0383
Practice Address - Street 1:2861 E HARBOR RD
Practice Address - Street 2:
Practice Address - City:PORT CLINTON
Practice Address - State:OH
Practice Address - Zip Code:43452-2665
Practice Address - Country:US
Practice Address - Phone:419-732-1833
Practice Address - Fax:419-732-0383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35068863C261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0186945Medicaid
OHG16714Medicare UPIN
OH0186945Medicaid