Spine Care Of Tidewater Pc | |
11872 Canon Blvd Ste D, Newport News, VA 23606-4239 | |
(757) 873-8483 | |
(757) 873-1150 |
Full Name | Spine Care Of Tidewater Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 11872 Canon Blvd Ste D, Newport News, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790823292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 0104000693 (Virginia) | Primary |
Provider Name | Kevin J Westby |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1720198377 PECOS PAC ID: 2062434830 Enrollment ID: I20051221000079 |
Provider Name | Randall B Miers |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1164509220 PECOS PAC ID: 2961419015 Enrollment ID: I20060314000528 |
Mailing Address | Practice Location Address |
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Spine Care Of Tidewater Pc 11872 Canon Blvd Ste D, Newport News, VA 23606-4239 Ph: (757) 873-8483 | Spine Care Of Tidewater Pc 11872 Canon Blvd Ste D, Newport News, VA 23606-4239 Ph: (757) 873-8483 |
Dr. Seung Won Yoo, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 610 Thimble Shoals Blvd., Suite 202-a, Newport News, VA 23606 Phone: 757-594-9412 Fax: 757-594-9413 | |
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Dr. Kevin Lee Conover, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 9610 Warwick Blvd, Newport News, VA 23601 Phone: 757-591-8834 Fax: 757-591-2542 | |
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