Provider Demographics
NPI:1972692309
Name:DARRACH, JAMES BRUCE (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BRUCE
Last Name:DARRACH
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 1:643 TRENTON AVE
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-2640
Mailing Address - Country:US
Mailing Address - Phone:419-427-6300
Mailing Address - Fax:419-427-2588
Practice Address - Street 1:643 TRENTON AVE
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-2640
Practice Address - Country:US
Practice Address - Phone:419-427-6300
Practice Address - Fax:419-427-2588
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2718111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2079487Medicaid
OHU72906Medicare UPIN
OH0863351Medicare ID - Type UnspecifiedCHIROPRACTOR