Hay, Darrell E

Hay, Darrell E is an individual health care provider with primary practice located at 420 E Division St , Fond Du Lac WI 54935-4560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hay, Darrell E can be contacted via phone (920) 926-8200.

Contact Information

Primary practice address
420 E Division St Fond Du Lac WI 54935-4560
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23353 Wisconsin

Profile Details

NPI number 1285615328
LBN Legal business name Hay, Darrell E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Aug 29th, 2007 - about 18 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 1285615328 NPPES
Wisconsin MEDICAID 30360700
Wisconsin Other 23353
Wisconsin Other 39080723629
Wisconsin Other 12664
Wisconsin Other WI0162

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