Provider Demographics
NPI:1689670838
Name:CHIPLEY, JULIAN ALEXANDER (DC)
Entity Type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:ALEXANDER
Last Name:CHIPLEY
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 1:409 N KANAWHA ST
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-3856
Mailing Address - Country:US
Mailing Address - Phone:304-252-0200
Mailing Address - Fax:304-252-0256
Practice Address - Street 1:409 N KANAWHA ST
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-3856
Practice Address - Country:US
Practice Address - Phone:304-252-0200
Practice Address - Fax:304-252-0256
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV626111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor