Organization
VIRGINIA HEALTH SOLUTIONS, INC.
Active
Other names
Virginia Health Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
TINA L CANARY (PRESIDENT)
(757) 223-8000
Entity
Organization
Contact information
Practice address
815 MIDDLE GROUND BLVD, INSIDE ONELIFE FITNESS, NEWPORT NEWS, VA 23606-4209
(757) 223-8000
(757) 223-8966
Mailing address
815 MIDDLE GROUND BLVD, INSIDE ONELIFE FITNESS, NEWPORT NEWS, VA 23606-4209
(757) 223-8000
(757) 223-8966
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
0104555575
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104555575
STATE LICENSE
VA
01
—
1699878611
DR TRAVIS WILSON - INDIVIDUAL NPI
VA
01
—
242498
ANTHEM
VA
01
—
9832201
AETNA
VA
Enumeration date
09/13/2010
Last updated
09/13/2010
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