Provider Demographics
NPI:1477032019
Name:SAULS-BASSFIELD, DARLENE (DC)
Entity Type:Individual
Prefix:DR
First Name:DARLENE
Middle Name:
Last Name:SAULS-BASSFIELD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 WADSWORTH DR
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-4525
Mailing Address - Country:US
Mailing Address - Phone:804-536-6663
Mailing Address - Fax:
Practice Address - Street 1:235 WADSWORTH DR
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-4525
Practice Address - Country:US
Practice Address - Phone:804-536-6663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3355111N00000X
VA0104-557428111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor