Healthcare Provider Details

I. General information

NPI: 1306994322
Provider Name (Legal Business Name): ALICIA A. CHURAMAN D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2007
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
00850-0085
US

IV. Provider business mailing address

259 ENDFIELD GREEN
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:
Title or Position:
Credential:
Phone: