Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 5901001485 | MI |
Y | 222Z00000X | Podiatrist | 5901001485 | MI |
NPI | 1003818022 |
---|---|
Provider Name | Dr. Jacques Gerard Darmon |
First Address | Franklin, MI 48025-0133 |
Second Address | Franklin, MI 48025-1378 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 16/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2619793 | (05) | MI |
480021978 | RAILROAD MEDICARE (01) | MI |
5630826 | BCBS PIN (01) | MI |
P68955 | BCN (01) | MI |
T91681 | (02) | |
XX15205 | HEALTH PLUS (01) | MI |