Provider Demographics
NPI:1083705115
Name:DAY, DARRELL L (DC)
Entity Type:Individual
Prefix:DR
First Name:DARRELL
Middle Name:L
Last Name:DAY
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 1:1509 25TH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-4387
Mailing Address - Country:US
Mailing Address - Phone:812-376-4080
Mailing Address - Fax:812-376-4081
Practice Address - Street 1:1509 25TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-4387
Practice Address - Country:US
Practice Address - Phone:812-376-4080
Practice Address - Fax:812-376-4081
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001652111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000093907OtherBLUE CROSS/BLUE SHIREL
IN000000093907OtherBLUE CROSS/BLUE SHIREL
INU61053Medicare UPIN