Provider Demographics
NPI:1639365356
Name:MARIA AQUILINA DARR, M.D., P.C.
Entity Type:Organization
Organization Name:MARIA AQUILINA DARR, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DARR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-662-0404
Mailing Address - Street 1:317 N FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47240-1738
Mailing Address - Country:US
Mailing Address - Phone:812-662-0404
Mailing Address - Fax:812-662-0135
Practice Address - Street 1:317 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:IN
Practice Address - Zip Code:47240-1738
Practice Address - Country:US
Practice Address - Phone:812-662-0404
Practice Address - Fax:812-662-0135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-16
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN50004338A261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center