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Organization
BURT H RUBIN
Active
Organization
BURT H RUBIN
Active
Other names
Peninsula Chiropracitc & or Prime Care Medical Group III
Organization subpart
No
Provider details
NPI number
Authorized official
BURT H RUBIN DC (OWNER)
(757) 723-3893
Entity
Organization
Contact information
Practice address
183 WOODLAND RD, HAMPTON, VA 23663
(757) 723-3893
(757) 723-8669
Mailing address
183 WOODLAND RD, HAMPTON, VA 23663
(757) 723-3893
(757) 723-8669
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062423
ANTHEM
VA
Enumeration date
01/16/2007
Last updated
09/11/2025
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