Jacob Michael Sunderlage, DC is a
Chiropractor based in Fairlawn, Virginia. Jacob Michael Sunderlage is licensed to practice in Virginia (license number 0104-557743) and his current practice location is
7350 Peppers Ferry Blvd Ste B, Fairlawn, Virginia. He can be reached at his office (for appointments etc.) via phone at
(540) 731-4357.
NPI number for Jacob Michael Sunderlage is 1497422174 and his current mailing address is 1901 S Main St Ste 5, Blacksburg, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497422174.
Healthcare Provider's Profile
Full Name | Jacob Michael Sunderlage |
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Gender | Male |
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Speciality | Chiropractor |
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Location | 7350 Peppers Ferry Blvd Ste B, Fairlawn, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497422174
- Provider Enumeration Date: 08/30/2021
- Last Update Date: 08/30/2021
Medical Identifiers
Medical identifiers for Jacob Michael Sunderlage such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497422174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 0104-557743 (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. Jacob Michael Sunderlage 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 |
Jacob Michael Sunderlage, DC 1901 S Main St Ste 5, Blacksburg, VA 24060-6628 Ph: (540) 951-6900 | Jacob Michael Sunderlage, DC 7350 Peppers Ferry Blvd Ste B, Fairlawn, VA 24141-8999 Ph: (540) 731-4357 |
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