Provider Demographics
NPI:1154590792
Name:DANE, DARCY DEBRA (DC, DACNB)
Entity type:Individual
Prefix:DR
First Name:DARCY
Middle Name:DEBRA
Last Name:DANE
Suffix:
Gender:F
Credentials:DC, DACNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6404 FALLS OF NEUSE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6832
Mailing Address - Country:US
Mailing Address - Phone:919-703-0207
Mailing Address - Fax:919-703-0208
Practice Address - Street 1:6404 FALLS OF NEUSE RD STE 201
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6832
Practice Address - Country:US
Practice Address - Phone:919-703-0207
Practice Address - Fax:919-703-0208
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3817111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor