Larusso, Daryl Michael

Larusso, Daryl Michael is an individual health care provider with primary practice located at 2500 Hospital Drive , Martinsburg WV 25401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Larusso, Daryl Michael can be contacted via phone (304) 264-1000.

Contact Information

Primary practice address
2500 Hospital Drive Martinsburg WV 25401
Phone: (304) 264-1000
Fax: (304) 264-1374
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 15404 West Virginia

Profile Details

NPI number 1881693455
LBN Legal business name Larusso, Daryl Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Mar 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881693455 NPPES
West Virginia MEDICAID 0053108000

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