New Life Family Chiropractic & Wellness PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556832 Issued in VA

Legal business name

NEW LIFE FAMILY CHIROPRACTIC & WELLNESS PLLC

Practice address

1045 Thomas Jefferson Rd
Suite 1D
Forest, VA 24551-4642

Phone

(434) 534-9426

Fax

(434) 534-9428

NPI assigned

Oct 20, 2010

Last updated

Apr 4, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Patrick William Stull, DC

Title

Owner

Phone

(434) 534-9426

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1386954667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 THOMAS JEFFERSON RD",
            "address_2": "SUITE 1D",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245514642",
            "telephone_number": "434-534-9426",
            "fax_number": "434-534-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 THOMAS JEFFERSON RD",
            "address_2": "SUITE 1D",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245514642",
            "telephone_number": "434-534-9426",
            "fax_number": "434-534-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE FAMILY CHIROPRACTIC & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "STULL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-534-9426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Forest, VA
• Providers in Forest, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.