Provider Demographics
NPI:1831380955
Name:SIMPSON, DARNELL (DC)
Entity type:Individual
Prefix:
First Name:DARNELL
Middle Name:
Last Name:SIMPSON
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:PO BOX 1179
Mailing Address - Street 2:118 S. MAIN ST. STE. 400
Mailing Address - City:THAYNE
Mailing Address - State:WY
Mailing Address - Zip Code:83127-1179
Mailing Address - Country:US
Mailing Address - Phone:307-883-7246
Mailing Address - Fax:307-883-7247
Practice Address - Street 1:118 S. MAIN ST.
Practice Address - Street 2:SUITE #400
Practice Address - City:THAYNE
Practice Address - State:WY
Practice Address - Zip Code:83127-1179
Practice Address - Country:US
Practice Address - Phone:307-883-7246
Practice Address - Fax:307-883-7247
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY673111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor