Provider Demographics
NPI:1346210952
Name:HAMRICK, DONALD KEITH III (DC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:KEITH
Last Name:HAMRICK
Suffix:III
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 1:5 RUBY DR
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-8427
Mailing Address - Country:US
Mailing Address - Phone:304-363-2211
Mailing Address - Fax:304-363-2212
Practice Address - Street 1:5 RUBY DR
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554-8427
Practice Address - Country:US
Practice Address - Phone:304-363-2211
Practice Address - Fax:304-363-2212
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV815111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U98268Medicare UPIN
HA4171161Medicare ID - Type Unspecified