Provider Demographics
NPI:1710050133
Name:PARDEE, DARRIN D (DC)
Entity Type:Individual
Prefix:DR
First Name:DARRIN
Middle Name:D
Last Name:PARDEE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:871 ETHAN ALLEN HWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877
Mailing Address - Country:US
Mailing Address - Phone:203-438-8388
Mailing Address - Fax:203-438-7525
Practice Address - Street 1:871 ETHAN ALLEN HWY
Practice Address - Street 2:SUITE 103
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877
Practice Address - Country:US
Practice Address - Phone:203-438-8388
Practice Address - Fax:203-438-7525
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000813111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT350000553Medicare ID - Type Unspecified