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Individual

DR. JAPHET LEGRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
45 MARKETPLACE DR, SUITE 102, ROCKY MOUNT, VA 24151-6516
(540) 483-3678
(540) 783-3820
Mailing address
441-G PINEY FOREST ROAD, DANVILLE, VA 24540-4154
(434) 793-0700
(434) 793-9315

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556091
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000385
ASHN HEALTHKEEPERS ID
VA
01
103264
BLUE CROSS PROVIDER NUMBE
VA
01
2093091
FIRST HEALTH MAILHANDLERS
VA
01
2963085
CIGNA PROVIDER ID
VA
01
642186
AMERICAN CHIROPRACTIC ID
VA
Enumeration date
05/30/2006
Last updated
03/13/2017
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