Individual
JACOB MICHAEL SUNDERLAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7350 PEPPERS FERRY BLVD STE B, FAIRLAWN, VA 24141-8999
(540) 731-4357
Mailing address
1901 S MAIN ST STE 5, BLACKSBURG, VA 24060-6628
(540) 951-6900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104-557743
VA
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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