Individual provider · Type 1 NPI
Jacob Michael Sunderlage, DC
Chiropractor · Fairlawn, VA
NPI number
1497422174
Active
Practice location
7350 Peppers Ferry Blvd Ste B
Fairlawn, VA 24141-8999
Mailing address
1901 S Main St Ste 5
Blacksburg, VA 24060-6628
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 0104-557743 (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.
About NPI 1497422174
Jacob Michael Sunderlage, DC's National Provider Identifier is 1497422174, issued on Aug 30, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fairlawn, VA. The record was last updated on Aug 30, 2021.