Provider Demographics
NPI:1306994322
Name:CHURAMAN, ALICIA A (DC)
Entity type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:A
Last Name:CHURAMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 ENDFIELD GREEN
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:00850-0085
Practice Address - Country:US
Practice Address - Phone:321-300-9735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI43111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VI0059918ZMedicare PIN