Healthcare Provider Details

I. General information

NPI: 1285812735
Provider Name (Legal Business Name): AAA CHIRO & REHAB SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2008
Last Update Date: 04/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

#224 ESTATE LA REINE
KINGSHILL, ST. CROIX VI
00850
US

IV. Provider business mailing address

259 ENFIELD GRN
FREDERIKSTED VI
00840-4722
US

V. Phone/Fax

Practice location:
  • Phone: 321-300-9735
  • Fax:
Mailing address:
  • Phone: 340-332-6557
  • Fax: 321-300-9735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number43
License Number StateVI

VIII. Authorized Official

Name: DR. ALICIA ANTONIA CHURAMAN
Title or Position: MANAGER
Credential: D.C.
Phone: 340-332-6557