Organization
VIE CHIROPRACTIC LLC
Active
Other names
Vie Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILLIAN CAMPBELL DC (CHIROPRACTOR AND OWNER)
(757) 232-7586
Entity
Organization
Contact information
Practice address
6504 47TH ST, RIVERDALE, MD 20737-1093
(757) 232-7586
Mailing address
6504 47TH ST, RIVERDALE, MD 20737-1093
(757) 232-7586
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104557622
LICENSE
VA
01
—
CH030212
LICENSE
DC
01
—
S04044
LICENSE
MD
Enumeration date
06/11/2021
Last updated
06/11/2021
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