Healthcare Provider Details
I. General information
NPI: 1629176656
Provider Name (Legal Business Name): DARLENE A EULER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
77 MOHAWK ST
CANAJOHARIE NY
13317-1145
US
IV. Provider business mailing address
77 MOHAWK ST
CANAJOHARIE NY
13317-1145
US
V. Phone/Fax
- Phone: 518-673-3876
- Fax: 518-673-4123
- Phone: 518-673-3876
- Fax: 518-673-4123
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | X007500 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: