Darnaby, Robert Ellis

Darnaby, Robert Ellis is an individual health care provider with primary practice located at 1103 E Grace St , Rensselaer IN 47978-3210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Darnaby, Robert Ellis can be contacted via phone (219) 866-4135.

Contact Information

Primary practice address
1103 E Grace St Rensselaer IN 47978-3210
Phone: (219) 866-4135
Fax: (219) 866-0803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A01028943 Indiana

Profile Details

NPI number 1811983356
LBN Legal business name Darnaby, Robert Ellis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated May 15th, 2017 - about 9 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 1811983356 NPPES
Indiana Other 080001859 PALMETTO GBA
Indiana MEDICAID 100142840A PALMETTO GBA
Indiana MEDICAID 100142840 PALMETTO GBA

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