Mayberry, Daniel Lee

Mayberry, Daniel Lee is an sole proprietor health care provider with primary practice located at 3D Mardiv Det Regimental Aid Station, M C B H Kaneohe Bay HI 96863. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Mayberry, Daniel Lee can be contacted via phone (808) 343-7780.

Contact Information

Primary practice address
3D Mardiv Det Regimental Aid Station M C B H Kaneohe Bay HI 96863
Phone: (808) 343-7780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1760718092
LBN Legal business name Mayberry, Daniel Lee
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2009
Last updated Oct 21st, 2009 - about 15 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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