Provider Demographics
NPI:1740374024
Name:MAPLE, DONALD R (DC)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:R
Last Name:MAPLE
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 1:44 N LONDON ST
Mailing Address - Street 2:
Mailing Address - City:MT STERLING
Mailing Address - State:OH
Mailing Address - Zip Code:43143-1127
Mailing Address - Country:US
Mailing Address - Phone:740-869-2800
Mailing Address - Fax:740-869-2323
Practice Address - Street 1:44 N LONDON ST
Practice Address - Street 2:
Practice Address - City:MT STERLING
Practice Address - State:OH
Practice Address - Zip Code:43143-1127
Practice Address - Country:US
Practice Address - Phone:740-869-2800
Practice Address - Fax:740-869-2323
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1703111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0823587Medicaid
OHMA0692931Medicare PIN