Organization
CHIROPRACTIC INITIATIVES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON FISHER GREGORY DC (PRESIDENT)
(804) 814-3545
Entity
Organization
Contact information
Practice address
2004 BREMO RD STE 101, RICHMOND, VA 23226-2442
(804) 288-0582
(804) 977-1301
Mailing address
2901 STONEWALL AVE, RICHMOND, VA 23225-3554
(804) 814-3545
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
0104000707
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C08906
PTAN
VA
Enumeration date
12/01/2006
Last updated
03/22/2018
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