Colliers, Darrell Bernard

Colliers, Darrell Bernard is an sole proprietor health care provider with primary practice located at 15200 Community Rd , Gulfport MS 39523. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Colliers, Darrell Bernard can be contacted via phone (228) 575-7000.

Contact Information

Primary practice address
15200 Community Rd Gulfport MS 39523
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 616147 Mississippi

Profile Details

NPI number 1588829048
LBN Legal business name Colliers, Darrell Bernard
Credentials CFA PA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2008
Last updated Jul 24th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588829048 NPPES
Other 616147 NATL 1ST ASSIST CORP

Popular Providers