Healthcare Provider Details
I. General information
NPI: 1194936211
Provider Name (Legal Business Name): CHARLES EDWARD DUVALL JR. D.C., M.P.S. M.ED.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/24/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2307 EAST AVE
AKRON OH
44314-1909
US
IV. Provider business mailing address
13332 WILLIAMSBURG AVE NW
UNIONTOWN OH
44685-8200
US
V. Phone/Fax
- Phone: 330-745-2141
- Fax: 330-745-9105
- Phone: 330-699-0250
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 770 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NI0013X |
| Taxonomy | Independent Medical Examiner Chiropractor |
| License Number | 770 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: