Blevins, Darryl

Blevins, Darryl is an individual health care provider with primary practice located at 1706 Wayne Memorial Dr , Goldsboro NC 27534-2240. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Blevins, Darryl can be contacted via phone (919) 734-6676.

Contact Information

Primary practice address
1706 Wayne Memorial Dr Goldsboro NC 27534-2240
Phone: (919) 734-6676
Fax: (919) 734-9050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 971 North Carolina

Profile Details

NPI number 1568497253
LBN Legal business name Blevins, Darryl
Credentials LCAS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 8th, 2007 - about 18 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 1568497253 NPPES
North Carolina MEDICAID 6111841

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