Provider Demographics
NPI:1134299340
Name:CHAMBERS, TERRY W (DC)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:W
Last Name:CHAMBERS
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 1:640 THATCHER RD
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401-1049
Mailing Address - Country:US
Mailing Address - Phone:304-283-1915
Mailing Address - Fax:
Practice Address - Street 1:319B LUTZ AVE
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25404-6362
Practice Address - Country:US
Practice Address - Phone:304-263-4927
Practice Address - Fax:304-263-0682
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV312171100000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVT32324Medicare UPIN