Provider Demographics
NPI:1326443011
Name:DARCI BARMAN, LLC
Entity Type:Organization
Organization Name:DARCI BARMAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARCI
Authorized Official - Middle Name:
Authorized Official - Last Name:BARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RDN, LD
Authorized Official - Phone:608-438-8746
Mailing Address - Street 1:PO BOX 2203
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83816-2203
Mailing Address - Country:US
Mailing Address - Phone:608-438-8746
Mailing Address - Fax:775-587-7671
Practice Address - Street 1:1316 N 4TH ST
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-3220
Practice Address - Country:US
Practice Address - Phone:208-676-0400
Practice Address - Fax:775-587-7671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-24
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDD-843133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty