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Organization

NORFOLK CHIROPRACTIC CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL SCOTT NIBLO DC, NMD (PRESIDENT)
(757) 622-8777
Entity
Organization

Contact information

Practice address
2200 COLONIAL AVE STE 2, NORFOLK, VA 23517-1915
(757) 622-8777
(757) 623-2079
Mailing address
425 W 20TH ST STE 6, NORFOLK, VA 23517-2128
(757) 622-8777
(757) 623-2079

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001408
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0300675
VA
Enumeration date
08/24/2007
Last updated
09/27/2016
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