| Vanwagner Inc | |
|
10857 W Broad St, Glen Allen, VA 23060-3312 | |
| (804) 270-3000 | |
| (804) 270-3004 |
| Full Name | Vanwagner Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 10857 W Broad St, Glen Allen, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376191635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Scott A Vanwagner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1972615557 PECOS PAC ID: 0042485286 Enrollment ID: I20111216000116 |
| Mailing Address | Practice Location Address |
|---|---|
| Vanwagner Inc 10857 W Broad St, Glen Allen, VA 23060-3312 Ph: (804) 270-3000 | Vanwagner Inc 10857 W Broad St, Glen Allen, VA 23060-3312 Ph: (804) 270-3000 |
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