Whitbeck, Darrell James
Whitbeck, Darrell James is an individual health care provider with primary practice located at 5415 N Bloomfield Rd Happiness House, Canandaigua NY 14424-7964. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. Whitbeck, Darrell James can be contacted via phone (585) 394-9510.Contact Information
Primary practice address
5415 N Bloomfield Rd Happiness House
Canandaigua NY 14424-7964
Phone: (585) 394-9510
Fax: (585) 394-5326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 012505-1 | New York |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation | 225XN1300X | 012505-1 | New York |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 012505-1 | New York |
Profile Details
| NPI number | 1487718300 |
|---|---|
| LBN Legal business name | Whitbeck, Darrell James |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Dec 10th, 2015 - about 9 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 | 1487718300 | NPPES |
| New York | MEDICAID | 01635592 |
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