Long, Darian Wade
Long, Darian Wade is an individual health care provider with primary practice located at 925 Highway Vv , Kennett MO 63857. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Long, Darian Wade can be contacted via phone (573) 888-5925.Contact Information
Primary practice address
925 Highway Vv
Kennett MO 63857
Phone: (573) 888-5925
Fax: (573) 888-9365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 8162 | Missouri |
Profile Details
| NPI number | 1912303405 |
|---|---|
| LBN Legal business name | Long, Darian Wade |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2014 |
| Last updated | Nov 10th, 2014 - about 11 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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