Bunch, Darrell A

Bunch, Darrell A is an individual health care provider with primary practice located at 4002 Technology Ctr , Longview TX 75605-2697. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bunch, Darrell A can be contacted via phone (903) 247-0484.

Contact Information

Primary practice address
4002 Technology Ctr Longview TX 75605-2697
Phone: (903) 247-0484
Fax: (903) 247-0485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1330 Arizona
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X P0817 Texas

Profile Details

NPI number 1710974811
LBN Legal business name Bunch, Darrell A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Mar 17th, 2014 - 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 1710974811 NPPES
Arizona MEDICAID 227977
Arizona MEDICAID 286300301

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