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INTEGRATIVE MEDICINE CENTER PLLC NPI 1831205137


NPI Information

NPI: 1831205137
Provider Name: INTEGRATIVE MEDICINE CENTER, PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1318 JAMESTOWN RD
SUITE 102
WILLIAMSBURG, VA
ZIP 23185
Phone: (757) 253-1900
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INTEGRATIVE MEDICINE CENTER, PLLC is a chiropractor in Williamsburg, 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. INTEGRATIVE MEDICINE CENTER, PLLC NPI is 1831205137. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1318 JAMESTOWN RD
SUITE 102
WILLIAMSBURG, VA
ZIP 23185-382
Phone: (757) 253-1900
Fax: (757) 253-2900

The provider's authorized official is Wade Quinn .
The authorized official title is Owner/manager and has the following contact phone number (757) 253-1900.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 11/15/2010.


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
1111N00000XChiropractor0104000370VIRGINIAYes

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
1350001233MEDICARE PINVIRGINIA
2350001219MEDICARE PINVIRGINIA
3C08133MEDICARE PINVIRGINIA
4T21411MEDICARE UPINVIRGINIA
5U75780MEDICARE UPINVIRGINIA

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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