Provider Demographics
NPI:1578060877
Name:DARLING, ERIC JOHN
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:JOHN
Last Name:DARLING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-1467
Mailing Address - Country:US
Mailing Address - Phone:570-878-7725
Mailing Address - Fax:
Practice Address - Street 1:525 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-1467
Practice Address - Country:US
Practice Address - Phone:570-878-7725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program