Haan, Daryl T.

Haan, Daryl T. is an individual health care provider with primary practice located at 627 25 1/2 Road , Grand Junction CO 81505-6401. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Haan, Daryl T. can be contacted via phone (970) 242-3535.

Contact Information

Primary practice address
627 25 1/2 Road Grand Junction CO 81505-6401
Fax: (970) 623-8599
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1361 Colorado

Profile Details

NPI number 1275527335
LBN Legal business name Haan, Daryl T.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Sep 7th, 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 1275527335 NPPES
Colorado MEDICAID 25374826
Colorado MEDICAID 05021847

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