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BLUE RIDGE CHIROPRACTIC CLINIC P.C. NPI 1689709479


NPI Information

NPI: 1689709479
Provider Name: BLUE RIDGE CHIROPRACTIC CLINIC P.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 49D0720020

Address:
1135 W LEE HWY
WYTHEVILLE, VA
ZIP 24382
Phone: (276) 227-0414
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BLUE RIDGE CHIROPRACTIC CLINIC P.C. is a chiropractor in Wytheville, VA. 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. BLUE RIDGE CHIROPRACTIC CLINIC P.C. NPI is 1689709479. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1135 W LEE HWY
WYTHEVILLE, VA
ZIP 24382-525
Phone: (276) 227-0414
Fax: (276) 227-0416

The provider's authorized official is Noah Alan Malavolti .
The authorized official title is Director and has the following contact phone number (276) 227-0414.

The CLIA number assigned to this NPI record is 49D0720020 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 3/10/2008.


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
1111N00000XChiropractorYes

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

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