Individual
DR. SUSAN ELAINE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2000 GENERAL BOOTH BLVD, SUITE #101, VIRGINIA BEACH, VA 23454-5876
(757) 430-0990
(757) 430-6860
Mailing address
4639 GLENCOE LN, VIRGINIA BEACH, VA 23464-6373
(757) 309-6679
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556450
VA
111N00000X
Chiropractor
2558
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2234399
—
OH
Enumeration date
01/25/2006
Last updated
07/09/2007
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