Provider Demographics
NPI:1811268683
Name:DELAIN, ROCHELLE JANENE (DC)
Entity type:Individual
Prefix:DR
First Name:ROCHELLE
Middle Name:JANENE
Last Name:DELAIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ROCHELLE
Other - Middle Name:JANENE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1425 JOHN B. WHITE, SR. BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29306
Mailing Address - Country:US
Mailing Address - Phone:864-641-9002
Mailing Address - Fax:
Practice Address - Street 1:1425 JOHN B. WHITE, SR. BOULEVARD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29306
Practice Address - Country:US
Practice Address - Phone:864-804-6612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1802111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor