Bain, Darryl B

Bain, Darryl B is an individual health care provider with primary practice located at 6633 Forest Ave Suite 300, New Port Richey FL 34653-2612. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Bain, Darryl B can be contacted via phone (727) 483-1323.

Contact Information

Primary practice address
6633 Forest Ave Suite 300 New Port Richey FL 34653-2612
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9232011 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN9232011 Florida

Profile Details

NPI number 1174932743
LBN Legal business name Bain, Darryl B
Credentials ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2014
Last updated Jul 1st, 2024 - about 5 months 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 1174932743 NPPES
Florida MEDICAID 016152100

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