# IVY COMMONS FAMILY CHIROPRACTIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IVY COMMONS FAMILY CHIROPRACTIC PLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558582544
- **Legal business name:** IVY COMMONS FAMILY CHIROPRACTIC PLC
- **Authorized official:** MS. MEGHAN A CUSTER DC (OWNER)
- **Authorized official phone:** (434) 817-3666

## Contact information

- **Practice address:** 4422 IVY CMNS, CHARLOTTESVILLE, VA 22903-7123
- **Practice address phone:** (434) 817-3666
- **Practice address fax:** (434) 293-0712
- **Mailing address:** 4422 IVY CMNS, CHARLOTTESVILLE, VA 22903-7123
- **Mailing address phone:** (434) 817-3666
- **Mailing address fax:** (434) 293-0712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 0104002067 | VA | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 01/26/2015