Mcnutt, Lennis Darrin

Mcnutt, Lennis Darrin is an sole proprietor health care provider with primary practice located at Uss Benfold Ddg 65 Medical Department, Fpo AP 96661-1283. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Mcnutt, Lennis Darrin can be contacted via phone (619) 556-3937.

Contact Information

Primary practice address
Uss Benfold Ddg 65 Medical Department Fpo AP 96661-1283
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1104134170
LBN Legal business name Mcnutt, Lennis Darrin
Credentials SFIDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2010
Last updated Sep 23rd, 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 1104134170 NPPES
California Other 000003625 ACTIVE DUTY NAVY

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