Provider Demographics
NPI:1952840910
Name:CASEY DUNCAN, PATRICIA R (DC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:R
Last Name:CASEY DUNCAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:R
Other - Last Name:DUNCAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:873 SUGARLOAF RUN
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-9410
Mailing Address - Country:US
Mailing Address - Phone:843-503-4658
Mailing Address - Fax:
Practice Address - Street 1:873 SUGARLOAF RUN
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-9410
Practice Address - Country:US
Practice Address - Phone:843-503-4658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-22
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557337111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor