Prins, Darrell Duane
Prins, Darrell Duane is an individual health care provider with primary practice located at 825 Nw Highway 101 Ste A , Lincoln City OR 97367-3241. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Prins, Darrell Duane can be contacted via phone (541) 996-7480.Contact Information
Primary practice address
825 Nw Highway 101 Ste A
Lincoln City OR 97367-3241
Phone: (541) 996-7480
Fax: (541) 557-6439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | DP00257 | Oregon |
Profile Details
| NPI number | 1174520902 |
|---|---|
| LBN Legal business name | Prins, Darrell Duane |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Nov 4th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174520902 | NPPES |
| Oregon | MEDICAID | 073627 |
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