Ganley, Darnell B
Ganley, Darnell B is an individual health care provider with primary practice located at 4075 Copper Ridge Dr , Traverse City MI 49684-7059. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ganley, Darnell B can be contacted via phone (800) 253-1795.Contact Information
Primary practice address
4075 Copper Ridge Dr
Traverse City MI 49684-7059
Phone: (800) 253-1795
Fax: (231) 946-1730
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1500669 | Kansas |
Profile Details
| NPI number | 1881650935 |
|---|---|
| LBN Legal business name | Ganley, Darnell B |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Mar 15th, 2019 - about 6 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 | 1881650935 | NPPES |
| Kansas | MEDICAID | 100357640D |
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