Elrod, Darryl G
Elrod, Darryl G is an individual health care provider with primary practice located at 1301 W Parks Hwy Ste 101 , Wasilla AK 99654-6939. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Elrod, Darryl G can be contacted via phone (907) 357-7781.Contact Information
Primary practice address
1301 W Parks Hwy Ste 101
Wasilla AK 99654-6939
Phone: (907) 357-7781
Fax: (907) 745-6573
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 6184 | Alaska |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MEDS6184 | Alaska |
Profile Details
NPI number | 1194712810 |
---|---|
LBN Legal business name | Elrod, Darryl G |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 29th, 2005 |
Last updated | Aug 15th, 2023 - about last year |
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 | 1194712810 | NPPES |
Alaska | MEDICAID | 1016699 |
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