Organization
ACTIVE CHIROPRACTIC AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON MATTHEW KING D.C. (OWNER)
(703) 371-9525
Entity
Organization
Contact information
Practice address
2200 COLONIAL AVE, SUITE 2, NORFOLK, VA 23517-1915
(757) 622-8777
Mailing address
2200 COLONIAL AVE, SUITE 2, NORFOLK, VA 23517-1915
(757) 622-8777
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0104556532
VA
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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