Glen Allen Chiropractic & Acupuncture Center Pc | |
11535 Nuckols Rd Ste D, Glen Allen, VA 23059-5671 | |
(804) 747-5464 | |
(804) 747-5483 |
Full Name | Glen Allen Chiropractic & Acupuncture Center Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 11535 Nuckols Rd Ste D, Glen Allen, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306907399 | NPI | - | NPPES |
1942209556 | Other | VA | INDIVIDUAL NPI # |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 0104001916 (Virginia) | Primary |
Provider Name | Michael A Spagnolo |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1942209556 PECOS PAC ID: 6204896095 Enrollment ID: I20041018000084 |
Mailing Address | Practice Location Address |
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Glen Allen Chiropractic & Acupuncture Center Pc 11535 Nuckols Rd Ste D, Glen Allen, VA 23059-5671 Ph: (804) 747-5464 | Glen Allen Chiropractic & Acupuncture Center Pc 11535 Nuckols Rd Ste D, Glen Allen, VA 23059-5671 Ph: (804) 747-5464 |
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