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Organization

VANSCOY CHIROPRACTIC CORPORATION HOLISTIC HEALTH CENTER

Active
Other names
Teays Valley Medicine and Rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DARRIN ANDREW VANSCOY DC (PRESIDENT)
(304) 760-1180
Entity
Organization

Contact information

Practice address
3761 TEAYS VALLEY RD, HURRICANE, WV 25526-9705
(307) 476-0118
(304) 760-1189
Mailing address
3761 TEAYS VALLEY RD, HURRICANE, WV 25526-9705
(307) 476-0118
(304) 760-1189

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
729
WV
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
940
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4000457000
WV
01
9309691
MEDICARE GROUP NUMBER
WV
01
CH0555
RAILROAD MEDICARE NUMBER
WV
Enumeration date
09/21/2006
Last updated
10/25/2007
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