MEDICARE: SKYLAR LOVE DICKERSON DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	0104558081	VA

General Provider Information

NPI Number	:	1235013632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SKYLAR LOVE DICKERSON DC

Provider Business Mailing Address
First Line	:	813 VIRGINIA CT
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-4671
Country	:	US
Telephone Number	:	940-284-0726
Fax Number	:

Provider Business Practice Location Address
First Line	:	524 INDEPENDENCE BLVD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-2221
Country	:	US
Telephone Number	:	757-460-2522
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2025
Last Update Date	:	07/31/2025

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Directions to “ SKYLAR LOVE DICKERSON DC” Practice Location

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