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Contact Information

LASER SPORT & SPINE, INC.
1303 W MAIN ST
RICHMOND, VA23220-4851
 Phone: 804-254-5765
 Fax: 804-254-5763
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for LASER SPORT SPINE INC · (Female)

NPI # 1861816563
Status Active
Credentials
Entity Individual
Enumeration date 02/15/2014
Last updated 02/15/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0104-555801
  • VA Other 1972714079 DOCTOR'S PRIOR INDIVIDUAL NPI #
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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