Individual
DARRELL B CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
14520 DETROIT AVE, LAKEWOOD, OH 44107-4317
(162) 271-4902
(216) 712-7490
Mailing address
14520 DETROIT AVE, LAKEWOOD, OH 44107-4317
(216) 227-1490
(216) 712-7490
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CE 004781
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29076
MEDICAL MUTUAL
OH
Enumeration date
07/12/2006
Last updated
05/04/2022
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