Organization
SPAP HOLDING CORP.
Active
Other names
King George Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN DESMOND PALLOTTI D.C. (OWNER/ CHIROPRACTOR)
(540) 775-2250
Entity
Organization
Contact information
Practice address
10244 KINGS HWY, KING GEORGE, VA 22485-3429
(540) 775-2250
(540) 775-2448
Mailing address
10244 KINGS HWY, KING GEORGE, VA 22485-3429
(540) 775-2250
(540) 775-2448
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556098
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00V310S74
MEDICARE PROVIDER #
VA
01
—
C08674
MEDICARE GROUP #
VA
Enumeration date
11/01/2007
Last updated
11/01/2007
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