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NPI Code Detail

MEDICARE: DR. DEBORAH A ROSS DC

MEDICARE: DR. DEBORAH A ROSS DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NS0005XSports Physician Chiropractor355WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2248833OTHERWVMAMSI
3550772013OTHERWACIGNA
4550772013OTHERWVWV VETERANS
5550772013OTHERWVWORKERS COMP
6550772013OTHERWVAETNA
7550772013OTHERWVUNITED HEALTH CARE
8000724450OTHERWVBLUE CROSS/ BLUE SHIELD

General Provider Information

NPI Number : 1720009251
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBORAH A ROSS DC
Provider Business Mailing Address
First Line : PO BOX 2408
Second Line :
City : HUNTINGTON
State : WV
Zip : 25725-2408
Country : US
Telephone Number : 304-525-1901
Fax Number : 304-525-0277
Provider Business Practice Location Address
First Line : 1218 5TH AVE
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-2207
Country : US
Telephone Number : 304-525-1901
Fax Number : 304-525-0277
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 05/01/2008

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