Provider Demographics
NPI:1225021512
Name:DARR, DOUGLAS A II (DC)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:A
Last Name:DARR
Suffix:II
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:STATE 5780 OH 13
Mailing Address - Street 2:ATTN CREDENTIALING AMANDA DAUGHERTY
Mailing Address - City:BELLVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44813
Mailing Address - Country:US
Mailing Address - Phone:419-622-0125
Mailing Address - Fax:419-886-2325
Practice Address - Street 1:5780 STATE ROUTE 13
Practice Address - Street 2:
Practice Address - City:BELLVILLE
Practice Address - State:OH
Practice Address - Zip Code:44813
Practice Address - Country:US
Practice Address - Phone:419-688-0125
Practice Address - Fax:419-886-2325
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3359111N00000X
OHDC-03359111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH301785688-003OtherMEDICAL MUTUAL OF OHIO
OH000000356855OtherANTHEM
OH877260000OtherUHC
OH4159601Medicare UPIN