Elg, Darren Eugene
Elg, Darren Eugene is an sole proprietor health care provider with primary practice located at 20715 E Ocotillo Rd Suite 101, Queen Creek AZ 85242-6118. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Elg, Darren Eugene can be contacted via phone (480) 987-3400.Contact Information
Primary practice address
20715 E Ocotillo Rd Suite 101
Queen Creek AZ 85242-6118
Phone: (480) 987-3400
Fax: (480) 987-3406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1100 | Arizona |
Profile Details
| NPI number | 1437149069 |
|---|---|
| LBN Legal business name | Elg, Darren Eugene |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Feb 23rd, 2010 - about 14 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 | 1437149069 | NPPES |
| Arizona | MEDICAID | 619265 |
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