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Contact Information

VANDYKE CHIROPRACTIC PC
1779 LOVERS GAP ROAD
VANSANT, VA24656
 Phone: 276-597-8387
 Fax: 276-597-2154
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for VANDYKE CHIROPRACTIC PC

NPI # 1649490855
LBN Legal business name VANDYKE CHIROPRACTIC PC
Authorized official BRADLEY VANDYKE - (CLINIC DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/27/2007
Last updated 11/28/2011 - About 15 years ago
Identifiers
VA License # 0104001184
WV Medicaid 7600037000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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