Provider Demographics
NPI:1114740818
Name:CARTHAN, DARRYL JR
Entity type:Individual
Prefix:
First Name:DARRYL
Middle Name:
Last Name:CARTHAN
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3710 DAVISON RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48506-4206
Mailing Address - Country:US
Mailing Address - Phone:810-447-4069
Mailing Address - Fax:
Practice Address - Street 1:3614 GRATIOT AVE
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-4911
Practice Address - Country:US
Practice Address - Phone:810-447-4069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-02
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider