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BLUE RIDGE CHIROPRACTIC AND MASSAGE THERAPY CENTER NPI 1205061751


NPI Information

NPI: 1205061751
Provider Name: BLUE RIDGE CHIROPRACTIC AND MASSAGE THERAPY CENTER
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1550 INSURANCE LN
CHARLOTTESVILLE, VA
ZIP 22911
Phone: (434) 296-8100
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BLUE RIDGE CHIROPRACTIC AND MASSAGE THERAPY CENTER is a clinic center in Charlottesville, VA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BLUE RIDGE CHIROPRACTIC AND MASSAGE THERAPY CENTER NPI is 1205061751. The provider is registered as an organization entity type.

The provider's business location address is:

1550 INSURANCE LN
CHARLOTTESVILLE, VA
ZIP 22911-229
Phone: (434) 296-8100
Fax: (434) 975-1023

The provider's authorized official is Deborah M. Sanderson .
The authorized official title is Owner and has the following contact phone number (434) 296-8100.

The enumeration date for this NPI number is 5/27/2009 and was last updated on 5/27/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center0104556193VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11900009640MEDICARE PINVIRGINIA
22219233OTHERVIRGINIACIGNA
3U35750MEDICARE UPINVIRGINIA
4212-9800OTHERVIRGINIAMAMSI
571965538OTHERVIRGINIAAETNA
6103382OTHERVIRGINIABLUE CROSS BLUE SHIELD
757-1010179OTHERVIRGINIAEIN
8242876OTHERVIRGINIASOUTHERN HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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