Vandyke Chiropractic Pc

LBN: Vandyke Chiropractic Pc
Vandyke Chiropractic Pc is an health care organization with primary practice located at 1779 Lovers Gap Road , Vansant VA 24656. The organization recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as the primary health care specialty. Vandyke Chiropractic Pc can be contacted via phone (276) 597-8387, or through Vandyke, Bradley Dean via phone (276) 597-8387.

Contact Information

Primary practice address
1779 Lovers Gap Road Vansant VA 24656
Phone: (276) 597-8387
Fax: (276) 597-2154
Website:
Map and Directions
Authorized official contact:
Name: Vandyke, Bradley Dean Doctor of Chiropractic (DC)
Phone: (276) 597-8387

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 0104001184 Virginia

Profile Details

NPI number 1649490855
LBN Legal business name Vandyke Chiropractic Pc
DBA Doing business as
Authorized official Vandyke, Bradley Dean Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2007
Last updated Nov 28th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649490855 NPPES
West Virginia MEDICAID 7600037000

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