Organization
CARMINES CHIROPRACTIC LLC
Active
Other names
Carmines Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRYSTAL CARMINES D.C. (OWNER)
(757) 222-1764
Entity
Organization
Contact information
Practice address
837 FIRST COLONIAL RD, SUITE A, VIRGINIA BEACH, VA 23451-6195
(757) 222-1764
(757) 222-1765
Mailing address
837 FIRST COLONIAL RD, SUITE A, VIRGINIA BEACH, VA 23451-6195
(757) 222-1764
(757) 222-1765
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557283
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VVJ816A
MEDICARE PTAN
VA
Enumeration date
07/06/2016
Last updated
07/06/2016
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