Divine Spine Chiropractic is a
Chiropractor based in Prince George, Virginia. Divine Spine Chiropractic is licensed to practice in Virginia (license number 0104-557187) and their current practice location is
4205 Crossings Blvd, Prince George, Virginia. It can be reached at their office (for appointments etc.) via phone at
(804) 668-5918.
NPI number for Divine Spine Chiropractic is 1598173155 and their current mailing address is 4205 Crossings Blvd, Prince George, Virginia. Divine Spine Chiropractic
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1598173155.
Healthcare Provider's Profile
| Full Name | Divine Spine Chiropractic |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 4205 Crossings Blvd, Prince George, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1598173155
- Provider Enumeration Date: 07/28/2014
- Last Update Date: 09/30/2014
Medical Identifiers
Medical identifiers for Divine Spine Chiropractic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598173155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 0104-557187 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Divine Spine Chiropractic is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Divine Spine Chiropractic
4205 Crossings Blvd,
Prince George, VA 23875
Ph: (804) 668-5918 | Divine Spine Chiropractic
4205 Crossings Blvd,
Prince George, VA 23875
Ph: (804) 668-5918 |
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