House, Darrell T
House, Darrell T is an individual health care provider with primary practice located at 500 N. Indiana Avenue , Winslow AZ 86047-1269. 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. House, Darrell T can be contacted via phone (928) 289-4646.Contact Information
Primary practice address
500 N. Indiana Avenue
Winslow AZ 86047-1269
Phone: (928) 289-4646
Fax: (928) 289-6225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0132471 | New Mexico |
Profile Details
| NPI number | 1396065488 |
|---|---|
| LBN Legal business name | House, Darrell T |
| Credentials | LADAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2010 |
| Last updated | Jun 11th, 2010 - about 15 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 | 1396065488 | NPPES |
| New Mexico | Other | 0132471 | LADAC |
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