National Provider Identifier Database

BACK TO THE BEACH INC
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.


Contact Information

BACK TO THE BEACH, INC
1900 MONTICELLO AVE
NORFOLK, VA23517-2339
Phone: 757-831-9128
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X
Physical Therapist 225100000X

* Indicates primary specialty

NPI Profile & details for BACK TO THE BEACH, INC

NPI Number 1538357173
Legal business name
LBN
BACK TO THE BEACH, INC
Authorized official ELLIOT SHERMAN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/09/2007
Last updated 10/09/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0104556338
  • VA License #: 2305203689

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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