Provider Demographics
NPI:1124235700
Name:DARNEL, EDWARD A (DC)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:A
Last Name:DARNEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:4100 OLD WARREN RD APT 9
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71603-6113
Mailing Address - Country:US
Mailing Address - Phone:870-534-8991
Mailing Address - Fax:870-534-1076
Practice Address - Street 1:2622 W 28TH AVE
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603-4917
Practice Address - Country:US
Practice Address - Phone:870-534-8991
Practice Address - Fax:870-534-1076
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AR1630111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic