Organization
WILDERNESS FAMILY CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE M STEWART DC (OWNER)
(540) 785-5757
Entity
Organization
Contact information
Practice address
5757 PLANK RD, FREDERICKSBURG, VA 22407-6227
(540) 785-5757
(540) 216-2606
Mailing address
5757 PLANK RD, FREDERICKSBURG, VA 22407-6227
(540) 785-5757
(540) 216-2606
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104002070
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203868788
FEDERAL TAX ID
—
Enumeration date
10/02/2006
Last updated
06/07/2023
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