Provider Demographics
NPI:1134123482
Name:RAWNSLEY, STEWART MELVILLE (DC)
Entity Type:Individual
Prefix:DR
First Name:STEWART
Middle Name:MELVILLE
Last Name:RAWNSLEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NARROWS
Mailing Address - State:VA
Mailing Address - Zip Code:24124-1321
Mailing Address - Country:US
Mailing Address - Phone:540-726-2318
Mailing Address - Fax:540-726-7665
Practice Address - Street 1:514 MAIN ST
Practice Address - Street 2:
Practice Address - City:NARROWS
Practice Address - State:VA
Practice Address - Zip Code:24124-1321
Practice Address - Country:US
Practice Address - Phone:540-726-2318
Practice Address - Fax:540-726-7665
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000570111N00000X
KY3806111N00000X
WV514111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA263805OtherMAMSI
WV0131172000Medicaid
VA4558326OtherAETNA MANAGED CARE
VA049852OtherANTHEM
VAT21489Medicare UPIN