Individual
RICHARD A BANKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
215 QUEEN STREET, TAPPAHANNOCK, VA 22560
(804) 443-5099
(804) 443-8348
Mailing address
PO BOX 2667, TAPPAHANNOCK, VA 22560-2667
(804) 443-5099
(804) 443-8348
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000453
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
541920762
FEDERAL TAX ID
—
Enumeration date
11/21/2006
Last updated
03/16/2010
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