Organization
LEN J BUNDICK, CHIROPRACTOR, P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEN JOSEPH BUNDICK D.C. (OWNER)
(757) 787-1086
Entity
Organization
Contact information
Practice address
25549 EAST MAIN ST., ONLEY, VA 23418-0310
(757) 787-1086
(757) 787-7953
Mailing address
25549 EAST MAIN ST, P O BOX 310, ONLEY, VA 23418-0310
(757) 787-1086
(757) 787-7953
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000543
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
381316
ANTHEM BC BS
VA
Enumeration date
11/27/2006
Last updated
08/22/2020
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