Pankow, Michael S
Pankow, Michael S is an sole proprietor health care provider with primary practice located at 2000 General Booth Blvd , Virginia Beach VA 23454-5876. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Pankow, Michael S can be contacted via phone (757) 490-0990.Contact Information
Primary practice address
2000 General Booth Blvd
Virginia Beach VA 23454-5876
Phone: (757) 490-0990
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 0104000747 | Virginia |
Profile Details
| NPI number | 1750376927 |
|---|---|
| LBN Legal business name | Pankow, Michael S |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Mar 12th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750376927 | NPPES |
| Virginia | Other | 059152 | BCBS |
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