TRAVIS DEAN RAFDAL DC NPI 1629007562

NPI Information

NPI: 1629007562
Provider Name: TRAVIS DEAN RAFDAL, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
11790 JEFFERSON AVE
#205
NEWPORT NEWS, VA
ZIP 23606
Phone: (757) 873-8701
Get Directions

Travis Dean Rafdal, DC is a chiropractor in Newport News, VA with 25 years of experience. The provider is 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. Travis Dean Rafdal, DC NPI is 1629007562. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11790 JEFFERSON AVE
#205
NEWPORT NEWS, VA
ZIP 23606
Phone: (757) 873-8701
Fax: (757) 873-6737

The enumeration date for this NPI number is 7/2/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		0104556169	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	187447	OTHER	VIRGINIA	ANTHEM BCBS
2	00W777R02	MEDICARE ID-TYPE UNSPECIFIED
3	V07671	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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