Organization
WALRAVEN CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARCEY WALRAVEN (DR)
(704) 334-3761
Entity
Organization
Contact information
Practice address
3010 MONROE RD, SUITE 105, CHARLOTTE, NC 28205-7532
(704) 334-3761
(704) 334-3763
Mailing address
10214 CHESTNUT PLAZA DR, SUITE 190, FORT WAYNE, IN 46814-8970
(260) 625-6660
(260) 625-6661
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3275
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5908612
—
NC
05
—
89085UH
—
NC
Enumeration date
10/19/2007
Last updated
05/21/2008
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