Debaun, Darci
Debaun, Darci is an sole proprietor health care provider with primary practice located at 318 W Pike St Suite 104, Lawrenceville GA 30045-3234. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Debaun, Darci can be contacted via phone (678) 377-2833.Contact Information
Primary practice address
318 W Pike St Suite 104
Lawrenceville GA 30045-3234
Phone: (678) 377-2833
Fax: (678) 377-2882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT007355 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 2001017942 | Missouri |
Profile Details
| NPI number | 1164589990 |
|---|---|
| LBN Legal business name | Debaun, Darci |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jul 9th, 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 | 1164589990 | NPPES |
| Georgia | Other | 307936 | WELLCARE # |
| Georgia | Other | 10037623 | WELLCARE # |
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