Provider Demographics
NPI:1477666741
Name:ROEMHILDT, DARREN C (DC)
Entity type:Individual
Prefix:DR
First Name:DARREN
Middle Name:C
Last Name:ROEMHILDT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 W BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:OWATONNA
Mailing Address - State:MN
Mailing Address - Zip Code:55060-2919
Mailing Address - Country:US
Mailing Address - Phone:507-451-7580
Mailing Address - Fax:
Practice Address - Street 1:211 W BRIDGE ST
Practice Address - Street 2:
Practice Address - City:OWATONNA
Practice Address - State:MN
Practice Address - Zip Code:55060-2919
Practice Address - Country:US
Practice Address - Phone:507-451-7580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3354111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN350002823Medicare ID - Type Unspecified