Primack, Daren Stephen

Primack, Daren Stephen is an individual health care provider with primary practice located at 1801 E March Ln Ste. D400, Stockton CA 95210-6629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Primack, Daren Stephen can be contacted via phone (209) 464-3615.

Contact Information

Primary practice address
1801 E March Ln Ste. D400 Stockton CA 95210-6629
Phone: (209) 464-3615
Fax: (209) 464-1311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G68135 California

Profile Details

NPI number 1215905260
LBN Legal business name Primack, Daren Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Mar 7th, 2023 - 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 1215905260 NPPES
California MEDICAID 00G681350
California Other G68135

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