Dolly, Darren Robert

Dolly, Darren Robert is an individual health care provider with primary practice located at 1215 Lawn Ave Ste 100 , Elkhart IN 46514-2493. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Dolly, Darren Robert can be contacted via phone (574) 293-2893.

Contact Information

Primary practice address
1215 Lawn Ave Ste 100 Elkhart IN 46514-2493
Phone: (574) 293-2893
Fax: (574) 293-1298
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01074203A Indiana

Profile Details

NPI number 1750601175
LBN Legal business name Dolly, Darren Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2010
Last updated Jan 7th, 2022 - about 3 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 1750601175 NPPES
Indiana Other 23604010 MEDICARE PTAN
Indiana MEDICAID 201254340 MEDICARE PTAN
Indiana Other 565800013 MEDICARE PTAN

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