Healthcare Provider Details

I. General information

NPI: 1588799423
Provider Name (Legal Business Name): DARRIN ANDREW VANSCOY DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 10/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3761 TEAYS VALLEY RD
HURRICANE WV
25526-9705
US

IV. Provider business mailing address

3761 TEAYS VALLEY RD
HURRICANE WV
25526-9705
US

V. Phone/Fax

Practice location:
  • Phone: 304-760-1180
  • Fax: 304-760-1189
Mailing address:
  • Phone: 304-760-1180
  • Fax: 304-760-1189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number729
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number729
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: