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Individual

CELESTE MARIE KRAWCHUK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
101 E MAIN ST, SUITE 102, BERRYVILLE, VA 22611-1384
(540) 955-3355
(540) 955-0498
Mailing address
101 E MAIN ST, SUITE 102, BERRYVILLE, VA 22611-1384
(540) 955-3355
(540) 955-0498

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556190
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2202095000
WV
01
465994
ANTHEM
VA
01
601858500
US DEPT OF LABOR
01
612441
HEALTH LINK NCPPO
01
70466
OPTIMA
VA
Enumeration date
12/28/2005
Last updated
06/03/2013
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