Individual
JAY BRADLEY BERKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
4867 BAXTER RD, SUITE 107, VIRGINIA BEACH, VA 23462-4469
(757) 497-1555
(757) 497-2715
Mailing address
4867 BAXTER RD STE 107, VIRGINIA BEACH, VA 23462-4469
(757) 497-8737
(757) 497-2715
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556586
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C03082
MEDICARE
VA
Enumeration date
01/29/2007
Last updated
02/14/2022
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