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Organization
MUNCY SPINAL INSTITUTE LLC
Active
Organization
MUNCY SPINAL INSTITUTE LLC
Active
Other names
Muncy Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY MUNCY (OWNER MANAGER)
(276) 591-5448
Entity
Organization
Contact information
Practice address
300 MOORE ST, SUITE B, BRISTOL, VA 24201-4337
(276) 591-5448
(276) 591-5447
Mailing address
300 MOORE ST, BRISTOL, VA 24201-4495
(276) 591-5448
(276) 591-5447
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556284
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010133807
—
VA
01
—
146646
BLUE CROSS BLUE SHIELD
VA
01
—
P00311241
RAILROAD MEDICARE
VA
Enumeration date
01/31/2007
Last updated
12/26/2024
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