Provider Demographics
NPI:1477587947
Name:DENAMUR, DARIN LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:DARIN
Middle Name:LEE
Last Name:DENAMUR
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 1:414 N FAYETTEVILLE ST
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-4727
Mailing Address - Country:US
Mailing Address - Phone:336-633-3030
Mailing Address - Fax:336-633-3020
Practice Address - Street 1:414 N FAYETTEVILLE ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-4727
Practice Address - Country:US
Practice Address - Phone:336-633-3030
Practice Address - Fax:336-633-3020
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2205111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890833WMedicaid
NC0833WOtherBC/BS
NC2450746AMedicare ID - Type Unspecified
NC0833WOtherBC/BS