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Organization
ISLAND CHIROPRACTIC
Active
Organization
ISLAND CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN THOMAS WHITE D.C. (PRESIDENT)
(757) 496-3353
Entity
Organization
Contact information
Practice address
2260 SEASHORE SHOPPES, VIRGINIA BEACH, VA 23451-1364
(757) 496-3353
(757) 496-9247
Mailing address
2260 SEASHORE SHOPPES, VIRGINIA BEACH, VA 23451-1364
(757) 496-3353
(757) 496-9247
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000727
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049868
BLUE CROSS BLUE SHIELD
VA
Enumeration date
12/10/2009
Last updated
12/10/2009
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