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Organization
CHESTER FAMILY CHIROPRACTIC CENTER P C
Active
Organization
CHESTER FAMILY CHIROPRACTIC CENTER P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM ELBAUM D.C. (PRESIDENT)
(804) 796-3221
Entity
Organization
Contact information
Practice address
4700 BUCKINGHAM CT, CHESTER, VA 23831-4261
(804) 796-3221
(804) 796-1500
Mailing address
4700 BUCKINGHAM CT, CHESTER, VA 23831-4261
(804) 796-3221
(804) 796-1500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0104000950
VA
111N00000X
Chiropractor
Primary
0104001015
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082600
ANTHEM BCBS
VA
05
—
8945063
—
VA
Enumeration date
07/17/2006
Last updated
07/27/2012
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