Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 729 | WV |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 729 | WV |
NPI | 1588799423 |
---|---|
Provider Name | Dr. Darrin Andrew Vanscoy |
First Address | Hurricane, WV 25526-9705 |
Second Address | Hurricane, WV 25526-9705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2007 |
Last Update Date | 25/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2205002000 | (05) | WV |
U81313 | (02) | WV |