Provider Demographics
NPI:1033487624
Name:ELQUIST, DARIN M
Entity Type:Individual
Prefix:MR
First Name:DARIN
Middle Name:M
Last Name:ELQUIST
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1721 MEADOWVALE WY
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431
Mailing Address - Country:US
Mailing Address - Phone:775-358-8465
Mailing Address - Fax:775-358-8495
Practice Address - Street 1:1721 MEADOWVALE WAY
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-2947
Practice Address - Country:US
Practice Address - Phone:775-358-8945
Practice Address - Fax:775-358-8945
Is Sole Proprietor?:No
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner