Provider Demographics
NPI:1588799423
Name:VANSCOY, DARRIN ANDREW (DC)
Entity type:Individual
Prefix:DR
First Name:DARRIN
Middle Name:ANDREW
Last Name:VANSCOY
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 1:3761 TEAYS VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:WV
Mailing Address - Zip Code:25526-9705
Mailing Address - Country:US
Mailing Address - Phone:304-760-1180
Mailing Address - Fax:304-760-1189
Practice Address - Street 1:3761 TEAYS VALLEY RD
Practice Address - Street 2:
Practice Address - City:HURRICANE
Practice Address - State:WV
Practice Address - Zip Code:25526-9705
Practice Address - Country:US
Practice Address - Phone:304-760-1180
Practice Address - Fax:304-760-1189
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV729111N00000X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV2205002000Medicaid
WVU81313Medicare UPIN
WV2205002000Medicaid