Organization
BECKER CLINIC LTD
Active
Other names
Becker Clinic of Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL WADE POWELL RT (CLINIC MANAGER)
(540) 563-0334
Entity
Organization
Contact information
Practice address
6206 PETERS CREEK ROAD, ROANOKE, VA 24019
(540) 563-0334
(540) 563-0122
Mailing address
6206 PETERS CREEK ROAD, ROANOKE, VA 24019
(540) 563-0334
(540) 563-0122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000126
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025540
ANTHEM
—
Enumeration date
08/10/2006
Last updated
08/22/2020
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