Organization
MSP INC.
Active
Other names
Beach Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PANKOW DC (OWNER)
(757) 430-0990
Entity
Organization
Contact information
Practice address
2000 GENERAL BOOTH BLVD, SUITE 101, VIRGINIA BEACH, VA 23454-5876
(757) 430-0990
(757) 271-0013
Mailing address
2000 GENERAL BOOTH BLVD, SUITE 101, VIRGINIA BEACH, VA 23454-5876
(757) 430-0990
(757) 271-0013
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
VA
Other
Enumeration date
11/14/2006
Last updated
03/19/2012
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