Damron, Daryl G
Damron, Daryl G is an sole proprietor health care provider with primary practice located at 102 N Adelaide St , Fenton MI 48430-2670. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Chiropractic Providers / Chiropractor is his primary health care specialty. Damron, Daryl G can be contacted via phone (810) 629-2245.Contact Information
Primary practice address
102 N Adelaide St
Fenton MI 48430-2670
Phone: (810) 629-2245
Fax: (810) 629-6535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2301006527 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601003439 | Michigan |
Profile Details
| NPI number | 1205803780 |
|---|---|
| LBN Legal business name | Damron, Daryl G |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Oct 22nd, 2015 - about 11 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 | 1205803780 | NPPES |
| Michigan | Other | OB55077 | BCBS ID |
| Michigan | Other | 1002998 | BCBS ID |
| Michigan | Other | 950B55077 | BCBS ID |
| Michigan | Other | P60609 | BCBS ID |
| Michigan | MEDICAID | 1935260 | BCBS ID |
| Michigan | Other | P00000552 | BCBS ID |
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