Healthcare Provider Details

I. General information

NPI: 1861619967
Provider Name (Legal Business Name): DEBORAH V. APPLEYARD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBORAH VAN ALLEN MD

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 06/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 ESTATE RUBY SUITE 1
CHRISTIANSTED VI
00820-4431
US

IV. Provider business mailing address

PO BOX 1095
CHRISTIANSTED VI
00821-1095
US

V. Phone/Fax

Practice location:
  • Phone: 340-692-5000
  • Fax: 340-692-5002
Mailing address:
  • Phone: 340-692-5000
  • Fax: 340-692-5002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberLP00270
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number2010-00254
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number1699
License Number StateVI
# 4
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number1699
License Number StateVI
# 5
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number1699
License Number StateVI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: