Organization
ATLAS SPECIFIC CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENATA ANNA KOWAL D.C. (OWNER)
(757) 283-6929
Entity
Organization
Contact information
Practice address
640 DENBIGH BLVD STE 4, NEWPORT NEWS, VA 23608-4485
(757) 283-6929
(757) 283-6931
Mailing address
640 DENBIGH BLVD STE 4, NEWPORT NEWS, VA 23608-4485
(757) 283-6929
(757) 283-6931
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556353
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00W657A02
MEDICARE DR. E. MIERZEJEW
VA
01
—
00W658A01
MEDICARE DR. R. KOWAL
VA
01
—
11281024
CAQH DR. RENATA KOWAL
VA
01
—
11501696
CAQH DR. E. MIERZEJEWSKI
VA
01
—
1477540730
NPI DR. E. MIERZEJEWSKI
VA
01
—
1770576738
NPI FOR DR. R. KOWAL
VA
01
—
184653
BCBS DR. R. KOWAL
VA
01
—
U99608
UPIN DR. E. MIERZEJEWSKI
VA
Enumeration date
02/06/2007
Last updated
08/22/2020
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