Doctor Name: | DR. DARALD EDISON BOLIN |
NPI Number: | 1407892276 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 3551R |
Business Practice Address: | 1803 Lansing Ave Ne Salem, OR - 973018733 |
Business Phone Number: | 5035812747 |
Business Fax Number: | 5033648049 |
Mailing Address: | 1803 Lansing Ave Ne, SALEM |
State: | OR |
Postal Code: | 973018733 |
Phone Number: | 5035812747 |
Fax Number: | 5033648049 |
NPI Enumeration Date: | 06/21/2006 |
NPI Last Update Date: | 11/23/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 3551R |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |