Provider Demographics
NPI:1326208042
Name:ANDREWS, DARELL ANTHONY (DC)
Entity Type:Individual
Prefix:DR
First Name:DARELL
Middle Name:ANTHONY
Last Name:ANDREWS
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 1:201 FINNEGAN DR
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-2574
Mailing Address - Country:US
Mailing Address - Phone:410-544-1850
Mailing Address - Fax:
Practice Address - Street 1:201 FINNEGAN DR
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-2574
Practice Address - Country:US
Practice Address - Phone:410-544-1850
Practice Address - Fax:301-567-7118
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03538111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor