Organization
MUNCY SPINAL INSTITUTE LLC
Active
Other names
Muncy Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY MUNCY (OWNER MANAGER)
(276) 591-5448
Entity
Organization
Contact information
Practice address
300 MOORE ST, SUITE B, BRISTOL, VA 24201-4337
(276) 591-5448
(276) 591-5447
Mailing address
300 MOORE ST, BRISTOL, VA 24201-4495
(276) 591-5448
(276) 591-5447
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556284
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010133807
—
VA
01
—
146646
BLUE CROSS BLUE SHIELD
VA
01
—
P00311241
RAILROAD MEDICARE
VA
Enumeration date
01/31/2007
Last updated
12/26/2024
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