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GREAT BRIDGE CHIROPRACTIC PHYSICIAN PC NPI 1134153448


NPI Information

NPI: 1134153448
Provider Name: GREAT BRIDGE CHIROPRACTIC PHYSICIAN PC

Doing Business As: CHESAPEAKE SPINE CENTER

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
676 KINGSBOROUGH SQ
SUITE C
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 549-2273
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GREAT BRIDGE CHIROPRACTIC PHYSICIAN PC is a chiropractor in Chesapeake, 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. GREAT BRIDGE CHIROPRACTIC PHYSICIAN PC NPI is 1134153448. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Chesapeake Spine Center.

The provider's business location address is:

676 KINGSBOROUGH SQ
SUITE C
CHESAPEAKE, VA
ZIP 23320-954
Phone: (757) 549-2273
Fax: (757) 548-1980

The provider's authorized official is Darryl Evan Macdowall .
The authorized official title is Owner/president and has the following contact phone number (757) 549-2273.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 8/22/2020.


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
1111N00000XChiropractor0104001072VIRGINIAYes

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.