MR. DANIEL THOMAS LINE P.A.-C NPI 1649574898

NPI Information

  • NPI: 1649574898
  • Provider Name: MR. DANIEL THOMAS LINE, P.A.-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 333 PINE RIDGE BLVD
    WAUSAU, WI
    ZIP 54401
  • Phone: (715) 847-2121

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NPI Details

MR. Daniel Thomas Line, P.A.-C is a medical physician assistant in Wausau, WI with 20 years of experience. MR. Daniel Thomas Line, P.A.-C NPI is 1649574898. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

333 PINE RIDGE BLVD
WAUSAU, WI
ZIP 54401-120
Phone: (715) 847-2121
Fax: (715) 847-2078

The NPI 1649574898 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/3/2011 and was last updated on 1/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical2704-023WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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