Provider Demographics
NPI:1235145640
Name:MITCHELL, DARREN L (DC)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:L
Last Name:MITCHELL
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 1:120 E JOHN ST
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-3036
Mailing Address - Country:US
Mailing Address - Phone:775-885-7555
Mailing Address - Fax:775-882-6666
Practice Address - Street 1:120 E JOHN ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-3036
Practice Address - Country:US
Practice Address - Phone:775-885-7555
Practice Address - Fax:775-882-6666
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB473111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVB473OtherSTATE LICENSE NUMBER
NVB473OtherSTATE LICENSE NUMBER