Individual
DR. DARRIN S GILLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
825 25TH ST S, SUITE C, FARGO, ND 58103-8724
(701) 237-4010
(701) 237-5150
Mailing address
825 25TH ST S, SUITE C, FARGO, ND 58103-8724
(701) 237-4010
(701) 237-5150
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
672
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11052
—
ND
01
—
13D48GI
BLUE CROSS MN
MN
01
—
18266
BLUE CROSS ND
ND
01
—
606754
ACN GROUP
ND
05
—
690082800
—
MN
Enumeration date
12/13/2006
Last updated
09/08/2010
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