Mc Clendon, Daryl De'Andre'

Mc Clendon, Daryl De'Andre' is an individual health care provider with primary practice located at 100 Hazard Ave Ste 101 , Enfield CT 06082-5447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mc Clendon, Daryl De'Andre' can be contacted via phone (860) 696-2380.

Contact Information

Primary practice address
100 Hazard Ave Ste 101 Enfield CT 06082-5447
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 254774 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 53889 Connecticut

Profile Details

NPI number 1568795359
LBN Legal business name Mc Clendon, Daryl De'Andre'
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2009
Last updated Feb 9th, 2023 - about last year

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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