Individual
DR. DONNEL BERNARD EDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
104 MELBOURNE PARK CIR APT A, CHARLOTTESVILLE, VA 22901-3923
(434) 977-9797
Mailing address
104 MELBOURNE PARK CIR APT A, CHARLOTTESVILLE, VA 22901-3923
(434) 977-9797
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557360
VA
111N00000X
Chiropractor
X009775
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10082112
CDPHP PROVIDER NUMBER
NY
01
—
X6T37
EMPIRE BC PROVIDER #
NY
Enumeration date
05/23/2007
Last updated
10/12/2021
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