NEUROLOGICAL CARE CLINIC PC NPI 1700102753

NPI Information

  • NPI: 1700102753
  • Provider Name: NEUROLOGICAL CARE CLINIC PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 825 DAVIS ST
    SUITE D
    BLACKSBURG, VA
    ZIP 24060
  • Phone: (540) 951-5090

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NPI Details

NEUROLOGICAL CARE CLINIC PC is a specialist in Blacksburg, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NEUROLOGICAL CARE CLINIC PC NPI is 1700102753. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

825 DAVIS ST
SUITE D
BLACKSBURG, VA
ZIP 24060-013
Phone: (540) 951-5090
Fax: (540) 552-3100

The provider's authorized official is Manuel Marrufo .
The authorized official title is President and has the following contact phone number (540) 951-5090.

The enumeration date for this NPI number is 4/15/2010 and was last updated on 4/14/2014.

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
1174400000XSpecialist0101238524VIRGINIAYes

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
1155543MEDICARE UPINVIRGINIA
2010275091MEDICAIDVIRGINIA

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: 11/21/2025

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