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Organization
LOUISA CHIROPRACTIC CENTER, LLC
Active
Organization
LOUISA CHIROPRACTIC CENTER, LLC
Active
Other names
Louisa Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN E. BOLEY D.C. (CLINIC DIRECTOR)
(540) 967-2522
Entity
Organization
Contact information
Practice address
506 E MAIN ST, LOUISA, VA 23093-4100
(540) 967-2522
(540) 967-5878
Mailing address
506 E MAIN ST, LOUISA, VA 23093-4100
(540) 967-2522
(540) 967-5878
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01040000734
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010100089
—
VA
01
—
01040000734
STATE LICENSE TO PRACTICE
VA
Enumeration date
12/01/2008
Last updated
12/01/2008
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