Sentara Medical Group
Organization Active NPI Chiropractor · Virginia Beach, VA
NPI 1962624916 · NPPES record last updated Sep 20, 2011
Key facts
- NPI
- 1962624916
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- SENTARA MEDICAL GROUP
- Practice address
- 240 Mustang TRL
Suite 3
Virginia Beach, VA 23452-7516 - Phone
- (757) 502-7690
- NPI assigned
- May 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Cindy A Taylor
- Title
- Manager
- Phone
- (757) 252-3344
Corporate family (same tax ID) 21
Practitioners 1
-
Jessa R Blount, C.G.C.
National Provider Directory
- Tax ID family
- Old Hampton Family Prac
Locations
240 Mustang Trl
Ste 3
Virginia Beach, VA 23452
Phone (757) 486-3222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
240 Mustang TRL
Suite 3
Virginia Beach, VA 23452-7516
Mailing address
240 Mustang TRL
Suite 3
Virginia Beach, VA 23452-7516
Phone (757) 502-7690
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C02033 | Other | VA | MEDICARE GROUP NUMBER |
Other names
- Advanced Chiropractic Center
Other providers in Virginia Beach, VA
- Sentara Medical Group
- Sentara Medical Group
- Sentara Medical Group
- Sentara Medical Group
- Sentara Medical Group
- Sentara Princess Anne Hospital
- Sentara Princess Anne Hospital
- Sentara Princess Anne Hospital
- Sentara Therapy Solutions, LLC
- Sentara Therapy Solutions, LLC
All providers in Virginia Beach, VA · Chiropractor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.