Organization
PALMERCARE CHIROPRACTIC LOVETTSVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY HOLM (CFO)
(713) 829-7506
Entity
Organization
Contact information
Practice address
20 TOWN SQ UNIT 130, LOVETTSVILLE, VA 20180-8556
(571) 264-0643
Mailing address
20 TOWN SQ UNIT 130, LOVETTSVILLE, VA 20180-8556
(571) 264-0643
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104556191
LICENSE
VA
Enumeration date
10/31/2018
Last updated
10/31/2018
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