Provider Demographics
NPI:1598203747
Name:DELMAN, JUSTENE (DC)
Entity Type:Individual
Prefix:
First Name:JUSTENE
Middle Name:
Last Name:DELMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 MONITOR ST
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32952-2615
Mailing Address - Country:US
Mailing Address - Phone:740-391-9154
Mailing Address - Fax:
Practice Address - Street 1:435 MONITOR ST
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32952-2615
Practice Address - Country:US
Practice Address - Phone:740-391-9154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 12055111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor