Provider Demographics
NPI:1124291521
Name:DARBY CHIROPRACTIC APC
Entity type:Organization
Organization Name:DARBY CHIROPRACTIC APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:DARBY
Authorized Official - Suffix:
Authorized Official - Credentials:DC,
Authorized Official - Phone:337-364-6543
Mailing Address - Street 1:221 N LEWIS ST
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70563-2840
Mailing Address - Country:US
Mailing Address - Phone:337-364-6543
Mailing Address - Fax:337-364-6564
Practice Address - Street 1:221 N LEWIS ST
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70563-2840
Practice Address - Country:US
Practice Address - Phone:337-364-6543
Practice Address - Fax:337-364-6564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty