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Olde Towne Wellness Llc
Chiropractor in Petersburg, Virginia
NPI 1144388315

Olde Towne Wellness Llc is a Chiropractor based in Petersburg, VA. Olde Towne Wellness Llc practices in Petersburg, VA. The NPI Number for Olde Towne Wellness Llc is 1144388315 and holds a License No. 0104001801 (Virginia).

The current practice location address for Olde Towne Wellness Llc is 515 S Sycamore St, Petersburg, VA and can be reached out via phone at 804-733-8377 and via fax at 804-733-8459.

Location: 515 S Sycamore St, Petersburg, VA, 23803-5037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144388315
Provider Name
Olde Towne Wellness Llc
Credential
Provider Entity Type
Organization
Address
515 S Sycamore St, Petersburg, VA, 23803-5037
Phone Number
804-733-8377
Fax Number
804-733-8459
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
418235 01 VA SOUTHERN HEALTH
191798 01 VA ANTHEM
640-504 01 VA UNITED HEATH CARE
institution
Provider Business Practice Location Address Details
Address
515 S Sycamore St
City
Petersburg
State
Virginia
Zip
23803-5037
Phone Number
804-733-8377
Fax Number
804-733-8459
person
Provider Business Mailing Address Details
Address
515 S Sycamore St
City
Petersburg
State
Virginia
Zip
23803-5037
Phone Number
804-733-8377
Fax Number
804-733-8459
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
0104001801 (Virginia)
Definition
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.
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