Individual
VINCENT THOMAS JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11790 JEFFERSON AVE, #205, NEWPORT NEWS, VA 23606
(757) 873-8701
(757) 873-6737
Mailing address
11790 JEFFERSON AVE, #205, NEWPORT NEWS, VA 23606
(757) 873-8701
(757) 873-6737
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000671
VA
171100000X
Acupuncturist
0104000671
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
274506
ANTHEM BCBS
VA
01
—
990010356
RR MEDICARE
—
Enumeration date
07/03/2006
Last updated
12/01/2011
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