| |
506 E Main St, Louisa, VA 23093-4100 | |
(540) 967-2522 | |
(540) 967-5878 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 506 E Main St, Louisa, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346495520 | NPI | - | NPPES |
010100089 | Medicaid | VA | |
01040000734 | Other | VA | STATE LICENSE TO PRACTICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 01040000734 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
506 E Main St, Louisa, VA 23093-4100 Ph: (540) 967-2522 | 506 E Main St, Louisa, VA 23093-4100 Ph: (540) 967-2522 |
Dr. Glenn E. Boley, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 506 E Main St, Louisa, VA 23093 Phone: 540-967-2522 Fax: 540-967-5878 |