Provider Demographics
NPI:1912064346
Name:RYAN, JAMES DARIN (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DARIN
Last Name:RYAN
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 1:2701 CALLOWAY DR
Mailing Address - Street 2:402
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-2621
Mailing Address - Country:US
Mailing Address - Phone:661-589-3427
Mailing Address - Fax:661-589-4756
Practice Address - Street 1:2701 CALLOWAY DR
Practice Address - Street 2:402
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2621
Practice Address - Country:US
Practice Address - Phone:661-589-3427
Practice Address - Fax:661-589-4756
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20771111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor