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Contact Information

DIVINE SPINE CHIROPRACTIC
4205 CROSSINGS BLVD
PRINCE GEORGE, VA23875
 Phone: 804-668-5918
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for DIVINE SPINE CHIROPRACTIC · (Female)

NPI # 1598173155
Status Active
Credentials
Entity Individual
Enumeration date 07/28/2014
Last updated 09/30/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0104-557187
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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