Slack, Darryl Spencer

Slack, Darryl Spencer is an individual health care provider with primary practice located at 11110 Medical Campus Road, Suite 147 Meritus Health System, Hagerstown MD 21742. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Slack, Darryl Spencer can be contacted via phone (240) 313-9600.

Contact Information

Primary practice address
11110 Medical Campus Road, Suite 147 Meritus Health System Hagerstown MD 21742
Phone: (240) 313-9600
Fax: (240) 313-9601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0000715 Maryland

Profile Details

NPI number 1801909650
LBN Legal business name Slack, Darryl Spencer
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Sep 18th, 2013 - about 13 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 1801909650 NPPES
Maryland Other C0000715 STATE LICENSE #

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