Donald, Daryl

Donald, Daryl is an sole proprietor health care provider with primary practice located at 2600 Sixth St Sw , Canton OH 44710-1702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Donald, Daryl can be contacted via phone (800) 701-3381.

Contact Information

Primary practice address
2600 Sixth St Sw Canton OH 44710-1702
Fax: (231) 922-4030
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35063861 Ohio

Profile Details

NPI number 1255307500
LBN Legal business name Donald, Daryl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2006
Last updated May 31st, 2012 - about 12 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 1255307500 NPPES
Ohio MEDICAID 2059614

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