Back N Shape Sportsmed

NPI 1366505182 - Chiropractor - 111N00000X

NPI Details
NPI 1366505182
Enumeration Date 12/19/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOSEPH W JOSEPH
Position OWNER
Phone (757) 471-2800
Fax
Practice Location
3809 PRINCESS ANNE RD
VIRGINIA BEACH VA, 23456-1900, US
Phone (757) 471-2800
Fax
Business Location
3809 PRINCESS ANNE RD
VIRGINIA BEACH VA, 23456-1900, US
Phone (757) 471-2800
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Virginia
License Number 0104001623
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According to our database, Back N Shape Sportsmed NPI is 1366505182, taxonomy code is 111N00000X and license number is 0104001623, license state is located at Virginia. Back N Shape Sportsmed physically located at 3809 Princess Anne Rd, Virginia Beach VA, 23456-1900. NPI Number 1033115704 has the healthcare provider type.

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1366505182 NPI number is provided on an as is basis without warranty of any kind. 1366505182 is maintained by the National Plan & Provider Enumeration System. The contents of Back N Shape Sportsmed are for informational purposes only.