Anderson, Darcy Jean

Anderson, Darcy Jean is an individual health care provider with primary practice located at 2570 24Th St Suite 124, Rock Island IL 61201-5394. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Anderson, Darcy Jean can be contacted via phone (309) 779-3670.

Contact Information

Primary practice address
2570 24Th St Suite 124 Rock Island IL 61201-5394
Phone: (309) 779-3670
Fax: (309) 779-3675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-001994 Illinois

Profile Details

NPI number 1407826589
LBN Legal business name Anderson, Darcy Jean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Feb 5th, 2015 - about 10 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 1407826589 NPPES
Illinois Other K04485 MEDICARE IND. PROVIDER #

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