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Organization
SEA PINES CHIROPRACTIC, P.C.
Active
Organization
SEA PINES CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER JOHN OLSZEWSKI D.C. (OWNER/PRACTITIONER)
(757) 340-0040
Entity
Organization
Contact information
Practice address
2712 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-7615
(757) 340-0040
(757) 340-0106
Mailing address
2712 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-7615
(757) 340-0040
(757) 340-0106
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000824
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
353326
BLUE CROSS/BLUE SHIELD
VA
01
—
54-4247843
FEDERAL TAX ID
VA
Enumeration date
02/04/2009
Last updated
02/04/2009
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