Organization
CHAPMANVILLE FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DERAIMO DC (OWNER)
(304) 855-4529
Entity
Organization
Contact information
Practice address
612 MAIN ST, CHAPMANVILLE, WV 25508
(304) 855-4529
Mailing address
PO BOX 4357, CHPMANVILLE, WV 25508
(304) 855-4529
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
861
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1071821
BRICKSTREET
—
01
—
9267096
AETNA
—
Enumeration date
05/03/2007
Last updated
07/17/2008
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