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FIRST COLONIAL CHIROPRACTIC NPI 1265600506


NPI Information

NPI: 1265600506
Provider Name: FIRST COLONIAL CHIROPRACTIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1139 FIRST COLONIAL RD
VIRGINIA BEACH, VA
ZIP 23454
Phone: (757) 496-4956
Get Directions

FIRST COLONIAL CHIROPRACTIC is a chiropractor in Virginia Beach, VA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. FIRST COLONIAL CHIROPRACTIC NPI is 1265600506. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1139 FIRST COLONIAL RD
VIRGINIA BEACH, VA
ZIP 23454-402
Phone: (757) 496-4956
Fax: (757) 496-0197

The provider's authorized official is Jason A Bradecich .
The authorized official title is Owner and has the following contact phone number (757) 496-4956.

The enumeration date for this NPI number is 2/20/2008 and was last updated on 4/14/2008.


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
1111N00000XChiropractor0104555587VIRGINIAYes

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
1140415OTHERVIRGINIAANTHEM
2C06924MEDICARE PINVIRGINIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.