| Southeast Spine & Wellness Center Llc | |
|
355 Crawford St, Suite 105, Portsmouth, VA 23704-2816 | |
| (757) 399-4700 | |
| (757) 399-0011 |
| Full Name | Southeast Spine & Wellness Center Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 355 Crawford St, Portsmouth, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467694729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 0104556637 (Virginia) | Primary |
| Provider Name | Stephen M Genthner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407030653 PECOS PAC ID: 1658426820 Enrollment ID: I20090911000538 |
| Provider Name | Ashley Parmarter Genthner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982839718 PECOS PAC ID: 5991833238 Enrollment ID: I20100507000261 |
| Provider Name | Erika Nicole Lackey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1295241396 PECOS PAC ID: 8022357524 Enrollment ID: I20190227002742 |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Spine & Wellness Center Llc 355 Crawford St, Suite 105, Portsmouth, VA 23704-2816 Ph: (757) 399-4700 | Southeast Spine & Wellness Center Llc 355 Crawford St, Suite 105, Portsmouth, VA 23704-2816 Ph: (757) 399-4700 |
Ronald R Toht Jr., DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5603 High St W, Suite A, Portsmouth, VA 23703 Phone: 757-966-2663 Fax: 757-966-2993 | |
Dr. Sara Christine Miller, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5800 High St W, Portsmouth, VA 23703 Phone: 757-686-3716 Fax: 757-686-8851 | |
Olde Towne Family Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 355 Crawford St, Suite 506, Portsmouth, VA 23704 Phone: 757-399-4700 Fax: 757-399-0011 | |
Tohtal Chiropractic Clinic, Llc. Chiropractor Medicare: Medicare Enrolled Practice Location: 5603 High St W, Portsmouth, VA 23703 Phone: 757-966-2663 Fax: 757-966-2993 | |
Dr. Steven C Ruescher, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3500 Queen St, Portsmouth, VA 23707 Phone: 757-399-7300 | |
Erika Nicole Lackey, Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 355 Crawford St Ste 105, Portsmouth, VA 23704 Phone: 757-399-4700 Fax: 757-399-0011 | |
Slone Chiropractic Clinic Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3208 Stamford Rd, Ste 44, Portsmouth, VA 23703 Phone: 757-483-3390 Fax: 757-483-3617 |