Provider Demographics
NPI:1578619441
Name:PILCHER, DARRELL KING
Entity Type:Individual
Prefix:DR
First Name:DARRELL
Middle Name:KING
Last Name:PILCHER
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:PO BOX 606
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93024-0606
Mailing Address - Country:US
Mailing Address - Phone:805-646-7680
Mailing Address - Fax:805-646-7680
Practice Address - Street 1:404 N MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-2748
Practice Address - Country:US
Practice Address - Phone:805-646-7680
Practice Address - Fax:805-646-7680
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16811111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA16811OtherCHIROPRACTIC LICENCE #