| Dr Jay B Berkowitz Dc Pc | |
|
4867 Baxter Rd Suite 107 Virginia Beach VA 23462-4469 | |
| (757) 497-1555 | |
| (757) 497-2715 |
| Full Name | Dr Jay B Berkowitz Dc Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4867 Baxter Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Jay B Berkowitz (PRESIDENT) |
| Authorized Official Contact | 7574971555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jay B Berkowitz Dc Pc 4867 Baxter Rd Suite 107 Virginia Beach VA 23462-4469 Ph: (757) 497-1555 | Dr Jay B Berkowitz Dc Pc 4867 Baxter Rd Suite 107 Virginia Beach VA 23462-4469 Ph: (757) 497-1555 |
| NPI Number | 1790844900 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 02/07/2022 |
| Medicare PECOS PAC ID | 5799838116 |
|---|---|
| Medicare Enrollment ID | O20090803000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790844900 | NPI | - | NPPES |
| 010144175 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0104000609 (Virginia) | Primary |
| Provider Name | Jay B Berkowitz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407992423 PECOS PAC ID: 9638154388 Enrollment ID: I20090826000204 |
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