Brosanders, Daryll
Brosanders, Daryll is an individual health care provider with primary practice located at Junction Navajo Route 9, Highway 371 , Crownpoint NM 87313-0358. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brosanders, Daryll can be contacted via phone (505) 786-5291.Contact Information
Primary practice address
Junction Navajo Route 9, Highway 371
Crownpoint NM 87313-0358
Phone: (505) 786-5291
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2004-0529 | Maryland |
Profile Details
| NPI number | 1144258880 |
|---|---|
| LBN Legal business name | Brosanders, Daryll |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144258880 | NPPES |
| New Mexico | MEDICAID | 91608830 |
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