Individual
DR. IMANUEL MORENINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2022 EUCLID AVE, BRISTOL, VA 24201-3610
(276) 466-3012
(276) 466-1502
Mailing address
2022 EUCLID AVE, BRISTOL, VA 24201-3610
(276) 466-3012
(276) 466-1502
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000510
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124256
—
TN
01
—
058407
ANTHEM B/C B/S #
VA
01
—
1281720001
ADMINASTAR
VA
01
—
295687100
US DEPARTMENT OF LABOR #
VA
01
—
3500014411
RAILROAD MEDICARE
VA
05
—
8930236
—
VA
01
—
VA0102
JOHN DEERE
VA
Enumeration date
06/20/2005
Last updated
08/12/2010
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