Organization · Type 2 NPI

Tidewater Chiropractic Group P.c.

Chiropractor · Portsmouth, VA

NPI number 1417097718 Active

Practice location

4305 Portsmouth Blvd
Portsmouth, VA 23701-2539

Call (757) 465-7299 Map

Fax (757) 465-7282

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X0104001982 (VA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1417097718

Tidewater Chiropractic Group P.c.'s National Provider Identifier is 1417097718, issued on Feb 7, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portsmouth, VA. The record was last updated on Feb 19, 2008.