Provider Demographics
NPI:1801478631
Name:RAMIREZ, ANGEL JAROB (DC)
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:JAROB
Last Name:RAMIREZ
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 1:208 FOX HILL RD STE C
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-1780
Mailing Address - Country:US
Mailing Address - Phone:757-850-0500
Mailing Address - Fax:
Practice Address - Street 1:208 FOX HILL RD STE C
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-1780
Practice Address - Country:US
Practice Address - Phone:757-850-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010424111N00000X
SC4515111N00000X
VA0104-557721111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor