Organization
NEW LIFE CHIROPRACTIC CLINIC LC
Active
Other names
New Life Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOHN GEHEREN (OWNER)
(757) 472-0630
Entity
Organization
Contact information
Practice address
2859 VIRGINIA BEACH BLVD STE 108, VIRGINIA BEACH, VA 23452-7622
(757) 472-0630
Mailing address
2859 VIRGINIA BEACH BLVD STE 108, VIRGINIA BEACH, VA 23452-7622
(757) 472-0630
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184655912
NPI
—
Enumeration date
08/12/2011
Last updated
08/12/2011
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