Barnes, Darryl D

Barnes, Darryl D is an individual health care provider with primary practice located at 1907 S Broadway Ave # 101 , Boise ID 83706-4201. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Barnes, Darryl D can be contacted via phone (208) 345-1222.

Contact Information

Primary practice address
1907 S Broadway Ave # 101 Boise ID 83706-4201
Phone: (208) 345-1222
Fax: (208) 345-1261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA315 Idaho

Profile Details

NPI number 1891733663
LBN Legal business name Barnes, Darryl D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jan 28th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891733663 NPPES
Idaho MEDICAID 805863500

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