Commonwealth Chiropractic Center, Inc. | |
3756 South Amherst Highway, Suite 100, Madison Heights, VA 24572 | |
(434) 929-4999 | |
(434) 929-4997 |
Full Name | Commonwealth Chiropractic Center, Inc. |
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Type | Facility |
Speciality | Chiropractor |
Location | 3756 South Amherst Highway, Madison Heights, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710143854 | NPI | - | NPPES |
263552 | Other | VA | ANTHEM |
2995862 | Other | VA | CIGNA |
350040203 | Other | VA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 0104001637 (Virginia) | Primary |
Provider Name | Robert A Stickle |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1861449266 PECOS PAC ID: 1759334733 Enrollment ID: I20050302000409 |
Provider Name | Douglas R Fonteyne |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1659464964 PECOS PAC ID: 3870660814 Enrollment ID: I20080917000559 |
Mailing Address | Practice Location Address |
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Commonwealth Chiropractic Center, Inc. 3756 South Amherst Highway, Suite 100, Madison Heights, VA 24572 Ph: (434) 929-4999 | Commonwealth Chiropractic Center, Inc. 3756 South Amherst Highway, Suite 100, Madison Heights, VA 24572 Ph: (434) 929-4999 |
Douglas R Fonteyne, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3756 S. Amherst Hwy, 100, Madison Heights, VA 24572 Phone: 434-929-4999 Fax: 434-929-4997 |