Brandon, Daryl Adrian

Brandon, Daryl Adrian is an sole proprietor health care provider with primary practice located at 522 Manila Avenue Apt 1, Jersey City NJ 07302. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Brandon, Daryl Adrian can be contacted via phone (201) 993-9654.

Contact Information

Primary practice address
522 Manila Avenue Apt 1 Jersey City NJ 07302
Phone: (201) 993-9654
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 146808 New York

Profile Details

NPI number 1376734921
LBN Legal business name Brandon, Daryl Adrian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2007
Last updated Feb 23rd, 2010 - about 14 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 1376734921 NPPES
New York MEDICAID 02229023

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