Organization
ADVANCED CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA ANN BLACKMORE DC (OWNER OPERATOR)
(434) 822-2222
Entity
Organization
Contact information
Practice address
5000 RIVERSIDE DR, SUITE C, DANVILLE, VA 24541-5641
(434) 822-2222
(434) 822-2101
Mailing address
5000 RIVERSIDE DR, SUITE C, DANVILLE, VA 24541-5641
(434) 822-2222
(434) 822-2101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001140
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134162
GATEWAY
VA
01
—
216628
ANTHEM
VA
01
—
288977
MAMSI
VA
01
—
350053242
MEDICARE RAILROAD
VA
Enumeration date
04/23/2007
Last updated
03/18/2011
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