Organization
GLEN ALLEN CHIROPRACTIC & ACUPUNCTURE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SPAGNOLO (OFFICE MANAGER)
(804) 747-5464
Entity
Organization
Contact information
Practice address
11535 NUCKOLS RD STE D, GLEN ALLEN, VA 23059-5671
(804) 747-5464
(804) 747-5483
Mailing address
11535 NUCKOLS RD STE D, GLEN ALLEN, VA 23059-5671
(804) 747-5464
(804) 747-5483
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001916
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942209556
INDIVIDUAL NPI #
VA
Enumeration date
12/13/2006
Last updated
08/26/2014
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