BASIC ESSENTIALS SPINAL CARE CENTER NPI 1588843023

NPI Information

NPI: 1588843023
Provider Name: BASIC ESSENTIALS SPINAL CARE CENTER
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2744 GLENDALE RD
GALAX, VA
ZIP 24333
Phone: (276) 236-3833
Get Directions

BASIC ESSENTIALS SPINAL CARE CENTER is a chiropractor in Galax, 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. BASIC ESSENTIALS SPINAL CARE CENTER NPI is 1588843023. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2744 GLENDALE RD
GALAX, VA
ZIP 24333-350
Phone: (276) 236-3833
Fax: (276) 236-9376

The provider's authorized official is Wade Edward Sproviero .
The authorized official title is Chiropractor and has the following contact phone number (273) 236-3833.

The enumeration date for this NPI number is 11/1/2007 and was last updated on 11/18/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		0104000891	VIRGINIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C06671	MEDICARE UPIN	VIRGINIA

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: 5/5/2024

NPI Synchronization or Removal

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