Provider Demographics
NPI:1346282878
Name:DRAUDT, DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:DRAUDT
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 1:5700 EQUESTRIAN DR
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-4603
Mailing Address - Country:US
Mailing Address - Phone:540-772-2652
Mailing Address - Fax:540-772-2652
Practice Address - Street 1:5700 EQUESTRIAN DR
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-4603
Practice Address - Country:US
Practice Address - Phone:540-772-2652
Practice Address - Fax:540-772-2652
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2017-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000854111N00000X
NC1772111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00X097W01Medicare PIN