Individual
BRAD LEE FORBES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11711 JEFFERSON AVE, SUITE B, NEWPORT NEWS, VA 23606-2062
(757) 594-9820
(757) 594-9823
Mailing address
11711 JEFFERSON AVE, SUITE B, NEWPORT NEWS, VA 23606-2062
(757) 594-9820
(757) 594-9823
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556084
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007781552
AETNA PIN
VA
01
—
136843
ANTHEM BLUE CROSS BLUE SH
VA
Enumeration date
12/20/2006
Last updated
07/08/2007
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