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Individual

DR. DONALD PATRICK BRESNAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1917 LASKIN RD, SUITE 108, VIRGINIA BEACH, VA 23454-4283
(757) 491-4600
(757) 491-0578
Mailing address
1917 LASKIN RD, SUITE 108, VIRGINIA BEACH, VA 23454-4283
(757) 491-4600
(757) 491-0578

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
104000492
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
043307
ANTHEM BCBS
VA
01
P00116450
RAILROAD MEDICARE PTAN
VA
Enumeration date
05/31/2006
Last updated
04/25/2008
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