Deardorff, Daralynn
Deardorff, Daralynn is an individual health care provider with primary practice located at 2825 Stadium Dr , Fort Worth TX 76109-1377. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Deardorff, Daralynn can be contacted via phone (817) 257-7864.Contact Information
Primary practice address
2825 Stadium Dr
Fort Worth TX 76109-1377
Phone: (817) 257-7864
Fax: (817) 257-7320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | K7715 | Texas |
Profile Details
| NPI number | 1528020351 |
|---|---|
| LBN Legal business name | Deardorff, Daralynn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Oct 30th, 2008 - 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 | 1528020351 | NPPES |
| Texas | MEDICAID | 150535602 | |
| Texas | Other | 8X7761 |
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