Provider Demographics
NPI:1538713680
Name:BALDWIN, DARWIN ALLAN JR (DC)
Entity type:Individual
Prefix:DR
First Name:DARWIN
Middle Name:ALLAN
Last Name:BALDWIN
Suffix:JR
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 1:81 HAGER BR
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:KY
Mailing Address - Zip Code:41216-8701
Mailing Address - Country:US
Mailing Address - Phone:606-886-3737
Mailing Address - Fax:606-886-3722
Practice Address - Street 1:81 HAGER BR
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:KY
Practice Address - Zip Code:41216-8701
Practice Address - Country:US
Practice Address - Phone:606-886-3737
Practice Address - Fax:606-886-3722
Is Sole Proprietor?:No
Enumeration Date:2019-07-27
Last Update Date:2019-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5553111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor