Underwood, Daryl

Underwood, Daryl is an individual health care provider with primary practice located at 901 Eastern Ave Ne , Grand Rapids MI 49503-1201. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Underwood, Daryl can be contacted via phone (616) 224-7429.

Contact Information

Primary practice address
901 Eastern Ave Ne Grand Rapids MI 49503-1201
Fax: (616) 574-7966
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1336531789
LBN Legal business name Underwood, Daryl
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2015
Last updated Feb 23rd, 2015 - about 10 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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