Beauchamp, Darryl Glenn

Beauchamp, Darryl Glenn is an individual health care provider with primary practice located at 3D Marine Special Operations Battalion Psc Box 20073, Camp Lejeune NC 28542-0073. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Beauchamp, Darryl Glenn can be contacted via phone (910) 449-9967.

Contact Information

Primary practice address
3D Marine Special Operations Battalion Psc Box 20073 Camp Lejeune NC 28542-0073
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1770850752
LBN Legal business name Beauchamp, Darryl Glenn
Credentials SPECIAL OPS IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2011
Last updated Nov 19th, 2011 - 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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