Provider Demographics
NPI:1437496551
Name:HOLMES, DARREN SCOTT (DC)
Entity type:Individual
Prefix:DR
First Name:DARREN
Middle Name:SCOTT
Last Name:HOLMES
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 1:2654 WILMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-1547
Mailing Address - Country:US
Mailing Address - Phone:724-655-3090
Mailing Address - Fax:833-454-0090
Practice Address - Street 1:2654 WILMINGTON RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1547
Practice Address - Country:US
Practice Address - Phone:724-655-3090
Practice Address - Fax:833-454-0090
Is Sole Proprietor?:No
Enumeration Date:2013-01-09
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010697111N00000X
PA5609111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1028322150001Medicaid