Provider Demographics
NPI:1528137635
Name:WORKMAN, DARIN W (DC)
Entity type:Individual
Prefix:DR
First Name:DARIN
Middle Name:W
Last Name:WORKMAN
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 1:757 S RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-8252
Mailing Address - Country:US
Mailing Address - Phone:713-503-8824
Mailing Address - Fax:435-586-7653
Practice Address - Street 1:757 S RIDGE RD
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-8252
Practice Address - Country:US
Practice Address - Phone:713-503-8824
Practice Address - Fax:435-586-7653
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5313111N00000X
UT364161-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAUO3043Medicare UPIN