Provider Demographics
NPI:1609049022
Name:BRETT P DARRINGTON CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:BRETT P DARRINGTON CHIROPRACTIC CORPORATION
Other - Org Name:BPD CHIROPRACTIC AND SPORTS THERAPY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:P
Authorized Official - Last Name:DARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-371-9116
Mailing Address - Street 1:4165 E THOUSAND OAKS BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-3837
Mailing Address - Country:US
Mailing Address - Phone:805-371-9116
Mailing Address - Fax:
Practice Address - Street 1:4165 THOUSAND OAKS BLVD STE 150
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-3837
Practice Address - Country:US
Practice Address - Phone:805-371-9116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-07
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26375111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty