Provider Demographics
NPI:1437198926
Name:LACHARITE, DARREN R (DC)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:R
Last Name:LACHARITE
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 1:52 PALCICH RD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:MI
Mailing Address - Zip Code:49635-9602
Mailing Address - Country:US
Mailing Address - Phone:231-352-4447
Mailing Address - Fax:231-325-2279
Practice Address - Street 1:52 PALCICH RD
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:MI
Practice Address - Zip Code:49635-9602
Practice Address - Country:US
Practice Address - Phone:231-352-4447
Practice Address - Fax:231-325-2279
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIDL006813111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOAO5026OtherBCBS
MI4462021Medicaid
MIOAO5026OtherBCBS
MIOAO5026Medicare ID - Type Unspecified