Covington Chiropractic Inc
Organization Active NPI Chiropractor · Covington, VA
NPI 1972790616 · NPPES record last updated Dec 10, 2012
Key facts
- NPI
- 1972790616
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 0104555954 (VA)
- Legal business name
- COVINGTON CHIROPRACTIC INC
- Practice address
- 222 N Court Ave
Covington, VA 24426-1536 - Phone
- (540) 962-0809
- NPI assigned
- Sep 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Travis N Stickle, DC
- Title
- Owner
- Phone
- (540) 962-0809
Practitioners 4
-
Travis Stickle, D.C.
-
Chheany Walter Ung, M.D.
-
Craig Allen Beuttler, D.C., F.I.A.M.A.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040406000182 | VA | Part B Supplier - Clinic/Group Practice | 3173515921 |
Receives reassigned benefits from 1 practitioner Practice locations: Covington, VA |
National Provider Directory
Locations
222 N Court Ave
Covington, VA 24426
Phone (540) 962-0809
328 W Main St
Covington, VA 24426
Phone (540) 962-0809
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 0104555954 | VA | Yes |
Addresses
Primary practice location
222 N Court Ave
Covington, VA 24426-1536
Mailing address
222 N Court Ave
Covington, VA 24426-1536
Phone (540) 962-0809
Other providers in Covington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.