Anderson, Darrell Wayne
Anderson, Darrell Wayne is an individual health care provider with primary practice located at 301 Victoria St , Costa Mesa CA 92627-1995. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Anderson, Darrell Wayne can be contacted via phone (949) 574-3364.Contact Information
Primary practice address
301 Victoria St
Costa Mesa CA 92627-1995
Phone: (949) 574-3364
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | RN95265676 | California |
Profile Details
| NPI number | 1992456800 |
|---|---|
| LBN Legal business name | Anderson, Darrell Wayne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2022 |
| Last updated | Apr 9th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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