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Organization

BURT H RUBIN

Active
Other names
Peninsula Chiropracitc & or Prime Care Medical Group III
Organization subpart
No

Provider details

NPI number
Authorized official
BURT H RUBIN DC (OWNER)
(757) 723-3893
Entity
Organization

Contact information

Practice address
183 WOODLAND RD, HAMPTON, VA 23663
(757) 723-3893
(757) 723-8669
Mailing address
183 WOODLAND RD, HAMPTON, VA 23663
(757) 723-3893
(757) 723-8669

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
062423
ANTHEM
VA
Enumeration date
01/16/2007
Last updated
09/11/2025
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