| New Life Chiropractic | |
|
2859 Virginia Beach Blvd Ste 108 Virginia Beach VA 23452-7622 | |
| (757) 472-0630 | |
| Not Available |
| Full Name | New Life Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2859 Virginia Beach Blvd Ste 108, Virginia Beach, Virginia |
| Authorized Official Name and Position | Michael John Geheren (OWNER) |
| Authorized Official Contact | 7574720630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Chiropractic 2859 Virginia Beach Blvd Ste 108 Virginia Beach VA 23452-7622 Ph: (757) 472-0630 | New Life Chiropractic 2859 Virginia Beach Blvd Ste 108 Virginia Beach VA 23452-7622 Ph: (757) 472-0630 |
| NPI Number | 1881973535 |
|---|---|
| Provider Enumeration Date | 08/12/2011 |
| Last Update Date | 08/12/2011 |
| Medicare PECOS PAC ID | 2567632417 |
|---|---|
| Medicare Enrollment ID | O20110831000815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881973535 | NPI | - | NPPES |
| 1184655912 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Michael John Geheren |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184655912 PECOS PAC ID: 0547271280 Enrollment ID: I20060510000085 |
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