Provider Demographics
NPI:1508526914
Name:DARRINGTON, DON WAYNE (OWNER/OPERATOR)
Entity Type:Individual
Prefix:MR
First Name:DON
Middle Name:WAYNE
Last Name:DARRINGTON
Suffix:
Gender:M
Credentials:OWNER/OPERATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5573 MAYFIELD RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2927
Mailing Address - Country:US
Mailing Address - Phone:216-205-8983
Mailing Address - Fax:
Practice Address - Street 1:5573 MAYFIELD RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44124-2927
Practice Address - Country:US
Practice Address - Phone:216-205-8983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-27
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH181835171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor