Organization
PURE N' SIMPLE FAMILY CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW B SHIFFLETT DC (OWNER/PRESIDENT)
(804) 435-2273
Entity
Organization
Contact information
Practice address
56 IRVINGTON ROAD, #1, KILMARNOCK, VA 22482-0000
(804) 435-2273
(804) 436-0143
Mailing address
PO BOX 1355, KILMARNOCK, VA 22482-1355
(804) 435-2273
(804) 436-0143
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556015
VA
Other
Enumeration date
03/17/2008
Last updated
03/25/2008
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