Provider Demographics
NPI:1447603261
Name:HARVEY, DARIUS
Entity Type:Individual
Prefix:
First Name:DARIUS
Middle Name:
Last Name:HARVEY
Suffix:
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 1:8785 SPINNAKER WAY
Mailing Address - Street 2:APT B3
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-6741
Mailing Address - Country:US
Mailing Address - Phone:313-401-8265
Mailing Address - Fax:
Practice Address - Street 1:8785 SPINNAKER WAY
Practice Address - Street 2:APT B3
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-6741
Practice Address - Country:US
Practice Address - Phone:313-401-8265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-16
Last Update Date:2016-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other