| |
109 Wimbledon Sq Ste D, Chesapeake, VA 23320-4945 | |
(757) 410-9550 | |
(757) 410-9506 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 109 Wimbledon Sq Ste D, Chesapeake, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982883450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 0104556563 (Virginia) | Primary |
Provider Name | Virginia Ellen Petree |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1720267297 PECOS PAC ID: 4486838315 Enrollment ID: I20110418000501 |
Provider Name | Colin Wade Eastwood |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1326220831 PECOS PAC ID: 2769926377 Enrollment ID: I20240705002956 |
Mailing Address | Practice Location Address |
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109 Wimbledon Sq Ste D, Chesapeake, VA 23320-4945 Ph: (757) 410-9550 | 109 Wimbledon Sq Ste D, Chesapeake, VA 23320-4945 Ph: (757) 410-9550 |
Dr. Kim Kevin Fuller, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 106 Wimbledon Sq, Chesapeake, VA 23320 Phone: 757-436-1037 Fax: 757-547-4031 | |
Suzanne M Santjer, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1932 Centerville Tpke S, Chesapeake, VA 23322 Phone: 757-650-9750 Fax: 833-672-2766 | |
Dr. Antwan L Jordan, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 838 Old George Washington Hwy N, Suite E, Chesapeake, VA 23323 Phone: 757-485-5666 Fax: 757-485-8666 | |
Dr. Nick Schapowal, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1528 Volvo Pkwy Ste C, Chesapeake, VA 23320 Phone: 757-547-1110 Fax: 757-547-7740 |