# BASIC ESSENTIALS SPINAL CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588843023
- **Authorized official:** DR. WADE EDWARD SPROVIERO D.C. (CHIROPRACTOR)
- **Authorized official phone:** (273) 236-3833

## Contact information

- **Practice address:** 2744 GLENDALE RD, GALAX, VA 24333-5350
- **Practice address phone:** (276) 236-3833
- **Practice address fax:** (276) 236-9376
- **Mailing address:** 2744 GLENDALE RD, GALAX, VA 24333-5350
- **Mailing address phone:** (276) 236-3833
- **Mailing address fax:** (276) 236-9376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 0104000891 | VA | Yes |

## Other

- **Enumeration date:** 11/01/2007
- **Last updated:** 11/18/2013