Brandon, Daryl Adrian
Brandon, Daryl Adrian is an sole proprietor health care provider with primary practice located at 522 Manila Avenue Apt 1, Jersey City NJ 07302. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Brandon, Daryl Adrian can be contacted via phone (201) 993-9654.Contact Information
Primary practice address
522 Manila Avenue Apt 1
Jersey City NJ 07302
Phone: (201) 993-9654
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 146808 | New York |
Profile Details
| NPI number | 1376734921 |
|---|---|
| LBN Legal business name | Brandon, Daryl Adrian |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2007 |
| Last updated | Feb 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376734921 | NPPES |
| New York | MEDICAID | 02229023 |
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