Provider Demographics
NPI:1285812735
Name:AAA CHIRO & REHAB SERVICES, LLC
Entity type:Organization
Organization Name:AAA CHIRO & REHAB SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:ANTONIA
Authorized Official - Last Name:CHURAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:340-332-6557
Mailing Address - Street 1:259 ENFIELD GRN
Mailing Address - Street 2:
Mailing Address - City:FREDERIKSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00840-4722
Mailing Address - Country:US
Mailing Address - Phone:340-332-6557
Mailing Address - Fax:321-300-9735
Practice Address - Street 1:#224 ESTATE LA REINE
Practice Address - Street 2:
Practice Address - City:KINGSHILL, ST. CROIX
Practice Address - State:VI
Practice Address - Zip Code:00850
Practice Address - Country:US
Practice Address - Phone:321-300-9735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI43111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VICS812AOtherPTAN