Provider Demographics
NPI:1447313044
Name:CHAUVIN, JOHN B (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:B
Last Name:CHAUVIN
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 1:6768 GORDON RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-8464
Mailing Address - Country:US
Mailing Address - Phone:910-313-1003
Mailing Address - Fax:910-313-1004
Practice Address - Street 1:6768 GORDON RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28411-8464
Practice Address - Country:US
Practice Address - Phone:910-313-1003
Practice Address - Fax:910-313-1004
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1979111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
0825ROtherBCBS NORTH CAROLINA
U36933Medicare UPIN
NC2449104Medicare ID - Type Unspecified