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NPI Code Detail

MEDICARE: DARRYL L. COTY, D.C.

MEDICARE: DARRYL L. COTY, D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor08001074AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000322989OTHERINBLUECROSS

General Provider Information

NPI Number : 1245303130
Entity Type Code : Organization
Provider Name (Legal Business Name) : DARRYL L. COTY, D.C.
Provider Business Mailing Address
First Line : 1169 N MAIN ST
Second Line : SUITE 6
City : BLUFFTON
State : IN
Zip : 46714-1360
Country : US
Telephone Number : 260-824-9944
Fax Number : 260-824-9945
Provider Business Practice Location Address
First Line : 1169 N MAIN ST
Second Line : SUITE 6
City : BLUFFTON
State : IN
Zip : 46714-1360
Country : US
Telephone Number : 260-824-9944
Fax Number : 260-824-9945
Authorized Official
Title or Position : OWNER
Name : DARRYL L. COTY
Credential : D.C.
Telephone Number : 260-824-9944
Provider Enumeration Date : 11/16/2006
Last Update Date : 08/22/2020

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