Organization
RICHMOND SPINE AND REHAB
Active
Other names
Greenville Alliance, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BUSCH (PRACTICE MANAGER)
(804) 592-2225
Entity
Organization
Contact information
Practice address
4906 MILLRIDGE PKWY E, MIDLOTHIAN, VA 23112-4828
(804) 592-2225
Mailing address
PO BOX 1539, MIDLOTHIAN, VA 23113-1539
(804) 592-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556661
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194951616
ORGANIZATION NPI
VA
01
—
1326285834
INDIVIDUAL NPI
VA
Enumeration date
06/10/2009
Last updated
08/29/2024
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